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🧭 Coaching & Consulting

Free Stress and Mindfulness Level Assessment

Score perceived stress, recovery and present-moment attention together, so the report shows whether a client needs load reduction or attention training.

3 scales
Load vs recovery
Direction report
AI PDF Report
AI Consultant
Live Preview

Quick answer

Score perceived stress, recovery and present-moment attention together, so the report shows whether a client needs load reduction or attention training.

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About this template

High stress and low mindfulness look identical from the outside and need opposite treatment. This instrument scores three scales together - perceived stress, recovery quality and present-moment attention - and the report reads them as a combination: too much load, too little recovery, or attention that is intact but hijacked. It is a coaching wellbeing check, explicitly not a clinical measure.

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Template at a Glance

TemplateStress and Mindfulness Level Assessment
CategoryCoaching & Consulting
FormatWeighted 1-5 assessment with personalized AI PDF report
Time to completeAbout 10 minutes per response
What you getA personalized AI report (printable PDF) per response, plus an AI consultant chat reached from the report QR
Best forBurnout-focused coaches · Overloaded professionals · Mindfulness teachers
CostFree to copy and customize on FormLM
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Live Preview

Sample form and AI report preview (fillable once the app is published).

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Fill it in to see how responses flow.
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Sample AI report with scoring visuals and recommendations, printable as a PDF.
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Scan the QR on the report to start an AI consultant chat.
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What's Included

What you get when you copy this template.

1

Perceived stress scale

Load, unpredictability and pressure items.

2

Recovery quality

Sleep, breaks and detachment, honestly rated.

3

Attention and presence

Mindfulness items on distractibility.

4

Direction read

Reduce load, protect recovery or train attention.

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How It Works

Four steps from copy to a usable result.

1

Score the three scales

Eighteen items, under ten minutes.

2

Note the triggers

What reliably tips the stress score.

3

Read the combination

Load, recovery or attention is the constraint.

4

Change one input

Then re-score in a month.

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Who Is This For

Where this fits in a coaching practice.

1

Burnout-focused coaches

Choose the right first intervention.

2

Overloaded professionals

See that rest is not the missing piece.

3

Mindfulness teachers

Baseline before an eight-week course.

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Key Features

What makes it work as a professional deliverable.

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Sample Questions Inside

Real items from the template - the live version scores each response and writes a personalized AI report.

  1. How often do you feel overwhelmed this month? (1-5)
  2. Do you detach from work in the evenings? (1-5)
  3. How restful is your sleep, honestly? (1-5)
  4. How often do you notice your mind racing? (1-5)
  5. What reliably tips you into stress? (open)
  6. What restores you, and when did you last do it? (open)
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Frequently Asked Questions

What does this assessment measure?
Three related things at once: perceived stress, recovery quality and present-moment attention, so the constraint can be identified.
Is it a burnout diagnosis?
No. It is a coaching self-report and states plainly that persistent symptoms belong with a health professional.
Why score mindfulness with stress?
Because the treatment differs. High load needs removal; intact recovery with scattered attention needs training.
How long does it take?
About eight minutes.
Should it be re-run?
Yes - monthly while working on it, since a single score hides the trend.
What does the report recommend?
One direction and the first concrete input to change.

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