Getting Started

Baseline Assessment

This assessment establishes your cognitive, autonomic, and operational baseline. Complete it at least 24 hours before your first briefing. There are no right or wrong answers. Your responses go to the team for review; if a practitioner activates you for the program, we email you so you can sign in to the app.

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1 · Client Information

Full name *

Email *

Title & organization

Others applying with you

List anyone else you know who is applying so we can place you in the same group if you’d like. Names (and emails, if you have them).

2 · Operational Load & Environment

Assessing your current bandwidth and pressure points.

2.1. How would you rate your current mental workload and day-to-day pace?

Very low 1 2 3 4 5 6 7 8 9 10 Extreme

2.2. Where does most of your mental energy go? (check all that apply)

High-volume decision-making Managing people / teams Deep focused work High-stakes communication Reactive / fire-fighting

2.3. Do you currently have any regular mindfulness, meditation, breathing, or attention practice?

None Occasional Regular

3 · Recovery & Sleep Baseline

Mapping the biological infrastructure that supports your decision-making.

3.1. Average hours of sleep per night over the past month

< 4 hrs 4–5 hrs 5–6 hrs 6–7 hrs 7–8 hrs 8+ hrs

3.2. How often do you wake up feeling genuinely unrefreshed or unrestored?

Rarely / Never 1 2 3 4 5 6 7 8 9 10 Almost every day

How difficult is it for you to disengage from work in order to fall asleep?

No difficulty 1 2 3 4 5 6 7 8 9 10 Extremely difficult

3.3. Do you currently use a wearable to track HRV, sleep, or strain?

Yes No Occasionally

4 · Clinical Health & Autonomic History

Because we train the nervous system, establishing medical safety is a non-negotiable prerequisite. This information is strictly confidential.

4.1. Do you have any history of clinical dissociation, depersonalization, or derealization?

Yes No

5 · Psychometric Baseline

Three validated instruments. They give us objective day-0 numbers to track your growth against.

5.1. Perceived Stress Scale (PSS-10)

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). Journal of Health and Social Behavior, 24, 385–396.

The questions below ask about your feelings and thoughts during the last month. In each case, mark how often you felt or thought a certain way.

1.In the last month, how often have you been upset because of something that happened unexpectedly?

Never Almost never Sometimes Fairly often Very often

2.In the last month, how often have you felt that you were unable to control the important things in your life?

Never Almost never Sometimes Fairly often Very often

3.In the last month, how often have you felt nervous and stressed?

Never Almost never Sometimes Fairly often Very often

4.In the last month, how often have you felt confident about your ability to handle your personal problems?

Never Almost never Sometimes Fairly often Very often

5.In the last month, how often have you felt that things were going your way?

Never Almost never Sometimes Fairly often Very often

6.In the last month, how often have you found that you could not cope with all the things that you had to do?

Never Almost never Sometimes Fairly often Very often

7.In the last month, how often have you been able to control irritations in your life?

Never Almost never Sometimes Fairly often Very often

8.In the last month, how often have you felt that you were on top of things?

Never Almost never Sometimes Fairly often Very often

9.In the last month, how often have you been angered because of things that happened that were outside of your control?

Never Almost never Sometimes Fairly often Very often

10.In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?

Never Almost never Sometimes Fairly often Very often

5.2. Pittsburgh Sleep Quality Index (PSQI)

Buysse, D. J., et al. (1989). Psychiatry Research, 28, 193–213.

The following questions relate to your usual sleep habits during the past month only.

1. During the past month, what time have you usually gone to bed at night?

2. During the past month, how long (in minutes) has it usually taken you to fall asleep?

3. During the past month, what time have you usually gotten up in the morning?

4. During the past month, how many hours of actual sleep did you get at night?

5. During the past month, how often have you had trouble sleeping because you…

a.Cannot get to sleep within 30 minutes

Not during last month Less than once/week Once or twice/week 3+ times per week

b.Wake up in the middle of the night or early morning

Not during last month Less than once/week Once or twice/week 3+ times per week

c.Have to get up to use the bathroom

Not during last month Less than once/week Once or twice/week 3+ times per week

d.Cannot breathe comfortably

Not during last month Less than once/week Once or twice/week 3+ times per week

e.Cough or snore loudly

Not during last month Less than once/week Once or twice/week 3+ times per week

f.Feel too cold

Not during last month Less than once/week Once or twice/week 3+ times per week

g.Feel too hot

Not during last month Less than once/week Once or twice/week 3+ times per week

h.Have bad dreams

Not during last month Less than once/week Once or twice/week 3+ times per week

i.Have pain

Not during last month Less than once/week Once or twice/week 3+ times per week

j.Other reason(s)

Not during last month Less than once/week Once or twice/week 3+ times per week

6.During the past month, how would you rate your sleep quality overall?

Very good Fairly good Fairly bad Very bad

7.During the past month, how often have you taken medicine to help you sleep?

Not during last month Less than once/week Once or twice/week 3+ times per week

8.During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?

Not during last month Less than once/week Once or twice/week 3+ times per week

9.During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done?

No problem Slight problem Somewhat of a problem A very big problem

5.3. Cognitive Failures Questionnaire (CFQ)

Broadbent, D. E., et al. (1982). British Journal of Clinical Psychology, 21, 1–16.

The following questions are about minor mistakes which everyone makes from time to time. Mark how often these things have happened to you in the last six months.

1.Do you read something and find you haven’t been thinking about it and must read it again?