1. MAIA

For this survey, you will indicate your Code Number and today's date at the end of the survey.

Below is a list of statements. On a scale of 0 to 5, please select the response that indicates how often each statement applies to you generally in daily life.   Do not skip any questions.

Thank you!

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* 1. When I am tense I notice where the tension is located in my body. 

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* 2. I notice when I am uncomfortable in my body.

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* 3. I notice where in my body I am comfortable.

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* 4. I notice changes in my breathing, such as whether it slows down or speeds up. 

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* 5.  I do not notice (I ignore) physical tension or discomfort until they become more severe.  

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* 6. I distract myself from sensations of discomfort. 

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* 7. When I feel pain or discomfort, I try to power through it. 

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* 8. When I feel physical pain, I become upset. 

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* 9. I start to worry that something is wrong if I feel any discomfort. 

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* 10. I can notice an unpleasant body sensation without worrying about it. 

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* 11. I can pay attention to my breath without being distracted by things happening around me. 

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* 12. I can maintain awareness of my inner bodily sensations even when there is a lot going on around me. 

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* 13. When I am in conversation with someone, I can pay attention to my posture. 

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* 14. I can return awareness to my body if I am distracted. 

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* 15. I can refocus my attention from thinking to sensing my body. 

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* 16. I can maintain awareness of my whole body even when a part of me is in pain or discomfort.  

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* 17. I am able to consciously focus on my body as a whole. 

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* 18. I notice how my body changes when I am angry. 

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* 19. When something is wrong in my life, I can feel it in my body. 

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* 20. I notice that my body feels different after a peaceful experience. 

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* 21. I notice that my breathing becomes free and easy when I feel comfortable. 

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* 22. I notice how my body changes when I feel happy/ joyful. 

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* 23. When I feel overwhelmed, I can find a calm place inside. 

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* 24. When I bring awareness to my body, I feel a sense of calm.

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* 25. I can use my breath to reduce tension. 

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* 26. When I am caught up in thoughts, I can calm my mind by focusing on my body/ breathing. 

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* 27. I listen for information from my body about my emotional state. 

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* 28. When I am upset, I take time to explore how my body feels. 

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* 29. I listen to my body to inform me about what to do.

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* 30. I am at home in my body. 

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* 31. I feel my body is a safe place. 

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* 32. I trust my body sensations. 

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* 33. ID number and your zip or postal code. 

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* 34. Please enter today's date:

Thank you for your ongoing participation. 

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