Hi, what's your name?

What do you do for work?

I work from home

I work outside the home

I am self-employed

Do you have kids at home?

YES

How does your busy and hectic schedule, affect your diet and exercise routine?

I tend to skip meals and grab for comfort food to save time.

I exercise less though make meals with family a priority.

I tend to stay later at work which interrupts my regular eating and exercise routine.

How would you describe your sleeping pattern?

I fall asleep quickly though toss and turn and wake frequently throughout the night

I have trouble falling asleep regularly and spend time looking at the clock

I fall asleep quickly though rarely sleep more than 6 hours a night

None of the above

Which of the following scenarios is most stressful to you?

Public speaking

Test taking

Health issues

Holidays

How do you deal with everyday distractions at work?

I get frustrated and it takes a while to get back on track.

I get frustrated, though deal with the problem quickly get back on track.

I get frustrated, deal with the unexpected problem quickly, though remain focused on the new challenge and return to the initial work load and task the next workday.

What kind of bonds do you have with your immediate family?

We are close, supportive and speak often though sometimes old wounds come up.

We are distant and speak rarely.

We are distant and speak only when family emergencies arise.

How do you deal with disagreements in your relationships with others?

I can hear the other side though tend to stand my ground.

I listen to the other side and can make some compromises.

I am confident with my opinion I tend to stand my ground.

How interested are you in local, state, or federal politics?

I am passionate about politics, stay informed and constantly watch the news.

I am somewhat interested in politics though only pay attention during elections and debates.

I pay little attention to politics though get upset during election time due to excessive media coverage.

Lastly, what kind of sports fan are you?

I have a favorite team, never miss a game, and constantly check the win/loss record.

I have a favorite team and check the win/loss record periodically and get emotionally excited when my team wins.

I have a favorite team though rarely keep track of the win/loss record though try to watch the championship game at the end of the season

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