1WS-Tracking Sheet SMT
Track the Changes: Silent Mind Process (SMT)
On a scale from 0 to 10, where 0 means not at all, no problem to 10 = maximum you can imagine, please rate the following questions:
1.
How stuck do you feel in your life in general?
0 1 2 3 4 5 6 7 8 9 10
2.
Do you feel like friends and family are holding you back g. with their opinions of your plans?
0 1 2 3 4 5 6 7 8 9 10
3.
How do you experience your progress in projects that are important to you? (List personal goals or professional projects as examples)
1)___________________ 0 1 2 3 4 5 6 7 8 9 10
2)___________________ 0 1 2 3 4 5 6 7 8 9 10
3)___________________ 0 1 2 3 4 5 6 7 8 9 10
4.
How would you rate the amount of “noise” in your head (mindchatter)? Background humming – jabbering – distinguishable voices (e.g. inner critic) – involuntary channeling?
0 1 2 3 4 5 6 7 8 9 10
5.
How do you experience your relationships with people close to you? Are they mostly about the same underlying emotional messages (usually different for each person)?
1)___________________ 0 1 2 3 4 5 6 7 8 9 10
2)___________________ 0 1 2 3 4 5 6 7 8 9 10
3)___________________ 0 1 2 3 4 5 6 7 8 9 10
6.
How “complicated” are your interactions with people in general?
0 1 2 3 4 5 6 7 8 9 10
7.
How vulnerable do you feel to other people’s verbal or unspoken attacks?
0 1 2 3 4 5 6 7 8 9 10
8.
Do you have addictive patterns? This is not just about drugs and alcohol, could be chocolate, sex, shopping, gambling etc.
0 1 2 3 4 5 6 7 8 9 10
9.
Do you have co-dependent patterns? Do you find yourself secretly sabotaging others when they are trying to improve? For example bringing home chocolates when your partner is trying to lose weight.
0 1 2 3 4 5 6 7 8 9 10
10.
How easy do you find it to meditate or focus without getting distracted by other thoughts?
0 1 2 3 4 5 6 7 8 9 10
11.
Do you feel heavy somewhere in your body, independent of your actually weight?
0 1 2 3 4 5 6 7 8 9 10
12.
Do you experience physical pains (pricks, jabbing) or blanking out during or immediately after interactions with others?
0 1 2 3 4 5 6 7 8 9 10
13.
If you could look through your belly button like a window
– how dark do you perceive the space outside this window, when you think of resolving your most pressing issue?
0 1 2 3 4 5 6 7 8 9 10
14.
Focus on a person you feel connected to, imagining them somewhere in the distance in front of you. Concentrate on your connection, then physically turn away from them sideways. Do you feel something is holding you back from turning e.g. like a rubberband?
0 1 2 3 4 5 6 7 8 9 10
15.
Do you think in terms of “we” and “them” (Football clubs, foreigners, political parties, etc.)
0 1 2 3 4 5 6 7 8 9 10
16.
How “alien” do you feel? Meaning not belonging?
0 1 2 3 4 5 6 7 8 9 10
17.
Are you living in a country or culture that is not the one you were born into?
Yes/No
Now please add up the numbers you have ticked.
Give yourself 50 additional points if you answered the last question with “yes”.
My result: ____________________
English 
Deutsch 
Français 
Italiano 
Русский