Participant's Email
Please enter a code or ID that you need to remember when completing this questionnaire and the follow-up questionnaires. * must provide value
Can you describe what compassion is? * must provide value
Can you describe what self- compassion means to you? * must provide value
1. When I fail at something important to me I become consumed by feelings of inadequacy. * must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
2. I try to be understanding and patient towards those aspects of my personality I don't like.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
3. When something painful happens I try to take a balanced view of the situation.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
4. When I'm feeling down, I tend to feel like most other people are probably happier than I am.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
5. I try to see my failings as part of the human condition.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
6. When I'm going through a very hard time, I give myself the caring and tenderness I need.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
7. When something upsets me I try to keep my emotions in balance.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
8. When I fail at something that's important to me, I tend to feel alone in my failure.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
9. When I'm feeling down I tend to obsess and fixate on everything that's wrong.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
10. When I feel inadequate in some way, I tend to remind myself that feelings of inadequacy are shared by most people.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
11. I'm disapproving and judgmental about my own flaws and inadequacies.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
12. I'm intolerant and impatient towards those aspects of my personality I don't like.* must provide value
1= Almost never
2= Seldom
3= Sometimes
4= Often
5= Almost always
1. I've been feeling optimistic about the future.* must provide value
1= None of the time
2= Rarely
3= Some of the time
4= Often
5= All of the time
2. I've been feeling useful* must provide value
1= None of the time
2= Rarely
3= Some of the time
4= Often
5= All of the time
3. I've been feeling relaxed.* must provide value
1= None of the time
2= Rarely
3= Some of the time
4= Often
5= All of the time
4. I've been dealing with problems well.* must provide value
1= None of the time
2= Rarely
3= Some of the time
4= Often
5= All of the time
5. I've been thinking clearly.* must provide value
1= None of the time
2= Rarely
3= Some of the time
4= Often
5= All of the time
6. I've been feeling close to other people.* must provide value
1= None of the time
2= Rarely
3= Some of the time
4= Often
5= All of the time
7. I've been able to make up my own mind about things. * must provide value
1= None of the time
2= Rarely
3= Some of the time
4= Often
5= All of the time
1. In the last few days I have felt 'Cheerful'* must provide value
1= None of the time
2= Not very often
3= Some of the time
4= Very often
5= All of the time
2. In the last few days I have felt 'Contended' * must provide value
1= None of the time
2= Not very often
3= Some of the time
4= Very often
5= All of the time
3. In the last few days I have felt 'Capable'* must provide value
1= None of the time
2= Not very often
3= Some of the time
4= Very often
5= All of the time
4. In the last few days I have felt 'Connected'* must provide value
1= None of the time
2= Not very often
3= Some of the time
4= Very often
5= All of the time
5. In the last few days I have felt 'Confident'* must provide value
1= None of the time
2= Not very often
3= Some of the time
4= Very often
5= All of the time
Have you experienced high levels of anxiety and stress when working as a nurse or midwife?* must provide value
Yes
No
If yes, please provide further details
Have you experienced high levels of anxiety and stress in your life? Yes
No
If yes, please provide further details
1. I feel calm* must provide value
1= Not at all
2= Somewhat
3= Moderately
4= Very much
2. I am tense* must provide value
1= Not at all
2= Somewhat
3= Moderately
4= Very much
3. I feel upset* must provide value
1= Not at all
2= Somewhat
3= Moderately
4= Very much
4. I am relaxed* must provide value
1= Not at all
2= Somewhat
3= Moderately
4= Very much
5. I feel content* must provide value
1= Not at all
2= Somewhat
3= Moderately
4= Very much
6. I am worried* must provide value
1= Not at all
2= Somewhat
3= Moderately
4= Very much
A) Please mark the box to show which age group you fall into:* must provide value
16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 60+
B) Gender:
C) What Ethnic group do you identify with?
D) What is your occupation?
E) Employment: What is your employment status? * must provide value
Full-time
Part-time
Contractual
Self-employed
Unemployed
How long have you been qualified as a Health Professional?
Are you currently registered to practice? * must provide value
Yes
No
f) Education: * must provide value
PhD
Masters
Postgraduate Diploma
Postgraduate Certificate
Graduate Degree
Diploma
Certificate
g) Have you attended any previous education or training for self-compassion? Yes
No
Is there anything else you would like to discuss about your wellbeing and self-care?
Are you attending face to face or online pre-recorded workshop? * must provide value
Yes
No
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