Brainwave Tendency Questionnaire

This questionnaire is designed to identify patterns in brainwave activity that may influence focus, stress, mental clarity, energy, emotional balance, and cognitive performance. It provides insight into how your brain may currently be functioning under daily mental and emotional demands.

Instructions:
Rate how often each statement describes you:
0 = Never
1 = Sometimes
2 = Often
3 = Almost Always

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Name and Surname *

Email Address *

Contact Number *

Q1. I often feel mentally tired or foggy.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q2. I struggle to stay alert and focused.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q3. I experience low motivation or forgetfulness.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q4. I frequently daydream or “zone out.”

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q5. I get easily distracted or lose focus.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q6. I struggle with organization or follow-through.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

switch it or

Q7. I procrastinate or delay starting tasks.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q8. I feel calm but struggle to take action.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q9. I find it hard to switch into problem-solving mode.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q10. My mind feels constantly busy or overactive.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q11. I overthink or struggle to relax.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q12. I have difficulty slowing my mind down at night.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q13. I feel mentally overloaded or overstimulated.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q14. I struggle to switch off intense thinking.

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

Q15. I often feel emotionally or mentally “on edge.”

Selected Value: 0

0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

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