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 * Gender Female Male Non-binary Prefer not to answer Marital Status * Marital Status Single, never married Married or domestic partnership Divorced or separated Widowed Prefer not to answer Employment * Employment Employed for wages Self-employed Student Homemaker Military Retired Unable to work Unemployed Prefer not to answer Ethnicity * Ethnicity Asian / Pacific Islander Black or African American Hispanic or Latino Native American / American Indian White Prefer not to answer Other Education * Education No schooling completed Nursery school to 8th grade Some high school, no diploma High school graduate, diploma or the equivalent Some college credit, no degree Trade/technical/vocational training Associate degree Bachelor’s degree Master’s degree Professional degree Doctorate degree Prefer not to answer Additional Information Journaling Experience * Journaling Experience Little to no experience Some experience Much experience Prefer not to answer General Anxiety Level * General Anxiety Level Mild Moderate Severe Prefer not to answer General Happiness Level * General Happiness Level Low Average High Prefer not to answer Clinically diagnosed anxiety disorder? Yes No Prefer not to answer Submit
