Start Here 1. Build Your Regimen 2. Customize Your Life 3. Study Your Patterns For Businesses For Coaches For Schools START BUILD EXPLORE TRACK SCHOOLS BUSINESSES COACHES Initial Assessment Research Group: The Equilibrium Journal Study Title: The Equilibrium Index & Anxiety Study Study Duration: 14 Days (3-5 minutes/day) The Equilibrium Index & Anxiety Study Participant Info Participant Study Username Please keep your study username handy as you will need this for all study assessments Study Username * Your study username is: (first 3 letters of your first name) + (last two digits of your birthyear) + (first 3 letters of your favorite animal) Participant Information First Name * This information will not be seen outside of our team* Last Name * This information will not be seen outside of our team* Email * This information will not be seen outside of our team* Study Start Date * Study begins 1 day after today* Participant Demographics Age * Gender * GenderFemaleMaleNon-binaryPrefer not to answer Marital Status * Marital StatusSingle, never marriedMarried or domestic partnershipDivorced or separatedWidowedPrefer not to answer Employment * EmploymentEmployed for wagesSelf-employedStudentHomemakerMilitaryRetiredUnable to workUnemployedPrefer not to answer Ethnicity * EthnicityAsian / Pacific IslanderBlack or African AmericanHispanic or LatinoNative American / American IndianWhitePrefer not to answerOther Education * EducationNo schooling completedNursery school to 8th gradeSome high school, no diplomaHigh school graduate, diploma or the equivalentSome college credit, no degreeTrade/technical/vocational trainingAssociate degreeBachelor’s degreeMaster’s degreeProfessional degreeDoctorate degreePrefer not to answer Additional Information Journaling Experience * Journaling ExperienceLittle to no experienceSome experienceMuch experiencePrefer not to answer General Anxiety Level * General Anxiety LevelMildModerateSeverePrefer not to answer General Happiness Level * General Happiness LevelLowAverageHighPrefer not to answer Clinically diagnosed anxiety disorder? Yes No Prefer not to answer Submit
