Pre-training Assessment Pre-Training Assessment Form Kindly complete this preassessment form before your training. Remember that there are no right or wrong answers so be sure to input the option that best describes you. Please note that your responses are confidential and the results will not be shared with your employer without your explicit consent. If you have any questions, please reach out to us via email at info@360psyche.com or call/ WhatsApp +2348096642604 User Code (Sent to Your Email) * How old are you? * Birthday Gender * Are you currently SingleMarriedSeparatedWidowedDivorcedOther Height (Feets) Weight (Kg) How would you classify your overall mental health? * ExcellentGoodPoor How would you classify your eating habit? * ExcellentGoodPoor How would you classify your sleep? * ExcellentGoodPoor Symptoms Checklist (Please check all that applies to you) * Depressed mood Excessive worry Impulsivity Sleep pattern disturbance Loss of interest Decreased libido Concentration problems/forgetfulness Change in appetite Excessive guilt Decreased need for sleep Crying spells Increase risky behaviour Hallucinations Unable to enjoy activities Anxiety/ panic attacks Avoidance Increased libido Racing Thoughts Suspiciousness Excessive energy Increased irritability Excessive need for sleep Fatigue Lack of motivation None I often neglect my personal needs due to the stress of my work * 5 – Strongly agree4 – Agree3 – Neutral2 – Disagree1 – Strongly disagree My work suffers because of everything going on in my personal life. * 5 – Strongly agree4 – Agree3 – Neutral2 – Disagree1 – Strongly disagree I often need to make difficult choices between my work and my personal life. * 5 – Strongly agree4 – Agree3 – Neutral2 – Disagree1 – Strongly disagree I can recognize my emotions as I experience them. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I lose my temper when I feel frustrated. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often People have told me that I’m a good listener. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I know how to calm myself down when I feel anxious or upset. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I enjoy organizing groups. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I find it hard to focus on something over the long term. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I find it difficult to move on when I feel frustrated or unhappy. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I know my strengths and weaknesses. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I avoid conflict and negotiations. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I feel that I don’t enjoy my work. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I ask people for feedback on what I do well, and how I can improve. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I set long-term goals, and review my progress regularly. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I find it difficult to read other people’s emotions. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I struggle to build rapport with others. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often I use active listening skills when people speak to me. * 1 – Not at all2 – Rarely3 – Sometimes4 – Often5 – Very often When given a new task, I’m confident that I’ll succeed. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree When one attempt fails, I learn from it and change my approach next time. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree When a task doesn’t go to plan, it affects my self belief. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree When given a new task, I’m confident that I’ll succeed. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I have few people at work who I can speak to about issues in the office. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree When I encounter a difficulty, I lose sight of my goal quickly. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree Sometimes I question my commitment to my job. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I have strategies in place for dealing with stress. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I find it easy to ask my colleagues for help. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I feel positive about the future. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I worry about issues that I have no control over. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree Asking for assistance reveals weakness. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree When there is fundamental change, I struggle to come around to new ways of thinking. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I have strong goals that are clear in my mind. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I am able to discuss my job and its challenges with people outside of work, such as family members and close friends. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree I am more likely to say “yes” than “no.” * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree Failures are hard to forget and successes are hard to remember. * 1 – Strongly disagree2 – Disagree3 – Neither agree nor disagree4 – Agree5 – Strongly agree Send me a copy of my results * Yes No If you are human, leave this field blank. 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