Purpose of the Baseline Questionnaire

The Baseline Questionnaire is designed to measure your starting point in four key areas—commitment, compliance, resilience, and growth—so you can track your progress throughout the 30-Day Mindful Twerking Challenge.

Completing the questionnaire at the beginning, midpoint, and end of the challenge provides a clear framework for evaluating your physical, mental, and emotional growth.

What to Expect in the Questionnaire

Participants will reflect on the following:

1. Commitment

• On a scale of 1 to 10, how committed do you feel to completing the challenge?
• Why did you choose that number?

2. Compliance

• Have you followed the choreography and mindfulness exercises daily?
  • ☐ Yes ☐ No
• If no, describe any obstacles or challenges that have prevented consistency.

3. Resilience

• If this is your first time completing the form:
  • Identify potential challenges you might face and plan strategies to overcome them.
• If this is a follow-up entry:
  • Describe a challenge you faced and how you overcame it.

4. Growth

• Reflect on any progress you’ve noticed in yourself—physically, mentally, or spiritually—since starting the challenge.
• How do these changes align with your original goals?

5. Free Response

• What is your personal goal for this challenge?
• How do you feel about your progress toward that goal? Has it changed or been redefined?

How the Questionnaire Supports You

This reflective tool is meant to:

• Ground You in the Present: Identify what’s working and what needs adjustment.
• Reaffirm Your Goals: Ensure your intentions remain aligned with your actions.
• Highlight Progress: Celebrate growth, even in small steps, to stay motivated.

PDF Templates

Download the Baseline Questionnaire and complete it at the following stages:

1. Baseline Questionnaire (PDF)

• • To complete before starting choreography (Day 1).

1. Midpoint Questionnaire (PDF)

• • To complete at the 14-day mark.

1. End-of-Challenge Questionnaire (PDF)

• • To complete on Day 30 to reflect on your overall growth.

Using Your Answers in the Challenge

1. Baseline Reflection (Day 1):

• • Start with self-awareness and goal-setting based on your current mindset and habits.

1. Midpoint Check-In (Day 14):

• • Use this to measure progress, adjust your approach, and address challenges.

1. Post-Challenge Reflection (Day 30):

• • Celebrate your achievements and identify areas to carry forward into your next journey.

Final Thought

The Baseline Questionnaire isn’t just a form—it’s your guide to intentional growth. By taking the time to reflect and revisit your answers, you’ll gain clarity and confidence to embrace the challenge ahead.

Complete your baseline reflection today, and let’s get started on this transformative journey together!

Lesson Summary

The Baseline Questionnaire is a tool designed to measure your starting point in commitment, compliance, resilience, and growth for the 30-Day Mindful Twerking Challenge. Here's what you can expect and how it supports your journey:

• Commitment: Reflect on your commitment level to the challenge and reasons behind your choice.
• Compliance: Indicate if you've followed the choreography and mindfulness exercises daily, noting any obstacles.
• Resilience: Plan strategies to overcome challenges or describe how you overcame a previous challenge.
• Growth: Consider any progress you've noticed and how it aligns with your goals.
• Free Response: Share your personal goal, feelings about progress, and any changes in goals.