{"id":221,"date":"2026-06-01T16:08:06","date_gmt":"2026-06-01T15:08:06","guid":{"rendered":"https:\/\/www.hypnotherapynurse.com\/?page_id=221"},"modified":"2026-06-01T16:11:13","modified_gmt":"2026-06-01T15:11:13","slug":"wellness-survey","status":"publish","type":"page","link":"https:\/\/www.hypnotherapynurse.com\/?page_id=221","title":{"rendered":"Wellness Survey 2026"},"content":{"rendered":"<style id=\"wpforms-css-vars-214-block-01320cf3-7bee-48c3-950f-6c05774f00c0\">\n\t\t\t\t#wpforms-214.wpforms-block-01320cf3-7bee-48c3-950f-6c05774f00c0 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-01320cf3-7bee-48c3-950f-6c05774f00c0 wpforms-render-modern\" id=\"wpforms-214\"><form id=\"wpforms-form-214\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"214\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F221\" data-token=\"5ccb987748491c3449b82cfce14d7a1a\" data-token-time=\"1780492479\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\">\t\t<div id=\"wpforms-214-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-214-field_1\" >find When 5.<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-214-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-214-field_2-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">1. When I wake up in the morning, I usually feel: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-214-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-214-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Energised and ready for the day\" aria-errormessage=\"wpforms-214-field_2_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_2_1\">Energised and ready for the day<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-214-field_2_2\" name=\"wpforms[fields][2][]\" value=\"Mostly okay, a bit tired\" aria-errormessage=\"wpforms-214-field_2_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_2_2\">Mostly okay, a bit tired<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-214-field_2_3\" name=\"wpforms[fields][2][]\" value=\"Tired and unmotivated\" aria-errormessage=\"wpforms-214-field_2_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_2_3\">Tired and unmotivated<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-214-field_2_4\" name=\"wpforms[fields][2][]\" value=\"Anxious or stressed\" aria-errormessage=\"wpforms-214-field_2_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_2_4\">Anxious or stressed<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-214-field_3-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">2. When I think about work or daily responsibilities, I usually feel: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-214-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_3_1\" name=\"wpforms[fields][3]\" value=\"Calm and confident\" aria-errormessage=\"wpforms-214-field_3_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_3_1\">Calm and confident<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_3_2\" name=\"wpforms[fields][3]\" value=\"Slightly stressed but manageable\" aria-errormessage=\"wpforms-214-field_3_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_3_2\">Slightly stressed but manageable<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_3_3\" name=\"wpforms[fields][3]\" value=\"Overwhelmed or anxious\" aria-errormessage=\"wpforms-214-field_3_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_3_3\">Overwhelmed or anxious<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_3_4\" name=\"wpforms[fields][3]\" value=\"Avoidant or dreading it\" aria-errormessage=\"wpforms-214-field_3_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_3_4\">Avoidant or dreading it<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-214-field_4-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">3. When I experience a strong emotion, I usually: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-214-field_4\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_4_4\" name=\"wpforms[fields][4]\" value=\"Acknowledge it and process it calmly\" aria-errormessage=\"wpforms-214-field_4_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_4_4\">Acknowledge it and process it calmly<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_4_5\" name=\"wpforms[fields][4]\" value=\"Notice it but feel unsure how to manage it\" aria-errormessage=\"wpforms-214-field_4_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_4_5\">Notice it but feel unsure how to manage it<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_4_6\" name=\"wpforms[fields][4]\" value=\"Feel overwhelmed or stuck in it\" aria-errormessage=\"wpforms-214-field_4_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_4_6\">Feel overwhelmed or stuck in it<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_4_7\" name=\"wpforms[fields][4]\" value=\"Suppress or ignore it\" aria-errormessage=\"wpforms-214-field_4_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_4_7\">Suppress or ignore it<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-214-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">4. How often do you feel restless, unable to relax, or find it hard to sleep? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-214-field_5\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_5_4\" name=\"wpforms[fields][5]\" value=\"Rarely or never\" aria-errormessage=\"wpforms-214-field_5_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_5_4\">Rarely or never<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_5_5\" name=\"wpforms[fields][5]\" value=\"Occasionally\" aria-errormessage=\"wpforms-214-field_5_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_5_5\">Occasionally<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_5_6\" name=\"wpforms[fields][5]\" value=\"Often\" aria-errormessage=\"wpforms-214-field_5_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_5_6\">Often<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_5_7\" name=\"wpforms[fields][5]\" value=\"Almost always\" aria-errormessage=\"wpforms-214-field_5_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_5_7\">Almost always<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-214-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">5. When thinking about past events or challenges, I usually: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-214-field_6\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_6_4\" name=\"wpforms[fields][6]\" value=\"Feel at peace and able to move on\" aria-errormessage=\"wpforms-214-field_6_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_6_4\">Feel at peace and able to move on<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_6_5\" name=\"wpforms[fields][6]\" value=\"Sometimes feel uneasy but cope\" aria-errormessage=\"wpforms-214-field_6_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_6_5\">Sometimes feel uneasy but cope<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_6_6\" name=\"wpforms[fields][6]\" value=\"Feel stuck or unable to move forward\" aria-errormessage=\"wpforms-214-field_6_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_6_6\">Feel stuck or unable to move forward<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-214-field_6_7\" name=\"wpforms[fields][6]\" value=\"Feel distressed or anxious frequently\" aria-errormessage=\"wpforms-214-field_6_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-214-field_6_7\">Feel distressed or anxious frequently<\/label><\/li><\/ul><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-214-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-214-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-214-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"214\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=\/wp\/v2\/pages\/221\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-214\" class=\"wpforms-submit\" data-alt-text=\"Sending survey...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hypnotherapynurse.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p class=\"wp-block-paragraph\"><strong>PRIVACY NOTICE: <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Information will not be shared with 3rd parties, is completely anonymised and no other data is collected other than that intentionally submitted in the form above by survey participants in line with EU-GDPR 2018, United Kingdom DPA 2018 &amp; Gibraltar DPA 2004 compliance.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PRIVACY NOTICE: Information will not be shared with 3rd parties, is completely anonymised and no other data is collected other than that intentionally submitted in the form above by survey participants in line with EU-GDPR 2018, United Kingdom DPA 2018 &amp; Gibraltar DPA 2004 compliance.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-221","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=\/wp\/v2\/pages\/221","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=221"}],"version-history":[{"count":3,"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=\/wp\/v2\/pages\/221\/revisions"}],"predecessor-version":[{"id":227,"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=\/wp\/v2\/pages\/221\/revisions\/227"}],"wp:attachment":[{"href":"https:\/\/www.hypnotherapynurse.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}