Step:
1
/
5
What is your gender?
a Male
b Female
c Other
What is your age range?
a 18-20
b 20–27
c 28–35
d 36–45
e 46–55
f 56–65
g 65+
How often do you postpone important tasks until the last possible moment?
a Always
b Often
c Occasionally
d Never
When facing a task, how difficult is it for you to get started?
a Very difficult
b Sometimes difficult
c Easy
Do you frequently find yourself distracted during work or study?
a Constantly distracted
b Occasionally distracted
c Rarely distracted
d Never distracted
How long have you noticed procrastination being a challenge in your life?
a Just a few months
b Between 1 and 3 years
c More than 3 years
d Almost my entire life
How often do feelings of overwhelm stop you from completing your daily tasks?
a Almost always
b Sometimes
c Rarely
d Almost never
Do you struggle to maintain tidiness in your living space?
a Yes, frequently
b Sometimes
c No, I manage fine
How motivated do you feel when working towards your personal goals?
a Hardly motivated at all
b Motivated at times
c Consistently motivated
When you procrastinate, do you experience feelings of guilt or disappointment in yourself?
a Yes, very often
b Sometimes
c No, not really
Which of the following do you feel is the main reason you procrastinate?
a Feeling overwhelmed
b Poor time management
c Lack of motivation
d Low energy or fatigue
e Fear of failure or inadequacy
f Difficulty making decisions
g Other
How frequently do you feel anxious or stressed related to your unfinished tasks?
a Very often
b Occasionally
c Rarely
d Never
Which of these impacts from procrastination affects your life the most?
a Increased stress or anxiety
b Missed deadlines or opportunities
c Lower self-confidence
d Trouble sleeping
e Strained relationships
f Other
Which activity do you find yourself delaying the most often?
a Exercise
b Healthy eating
c Medical check-ups
d Drinking enough water
e Socializing
f Studying or learning
g House cleaning
h Reading
i Other
What is the main cause of your procrastination?
a Waiting for last-minute motivation
b Taking on too much at once
c Disliking imposed rules or schedules
d Excessive worry about risks
e Overthinking
f Perfectionism
g Other
Have you noticed how long it’s been since you last felt truly motivated?
a Within the past month
b Less than a year ago
c 1 to 2 years ago
d More than 3 years ago
e I don’t remember
Which personal quality do you believe you most need to improve to overcome procrastination?
a Focus and concentration
b Energy levels
c Emotional calmness
d Mental resilience
e Willpower
f Other
Which habit or behavior do you most want to quit to improve your productivity?
a Drinking alcohol
b Being habitually late
c Self-doubt
d Unhealthy eating
e Excessive social media use
f Poor sleep habits
g Nail-biting
h Binge-watching TV shows
i None
Do you find it difficult to maintain focus on tasks during your workday?
a Yes, very often
b Sometimes
c No, I can focus well
When do you think is the best time for you to engage in a guided self-improvement session (like hypnotherapy)?
a Immediately upon waking
b Morning
c Midday
d Afternoon or early evening
e Just before bedtime
How familiar are you with the concept of hypnotherapy as a tool to improve habits and reduce procrastination?
a I’ve never heard of it
b I know a little
c I’m quite knowledgeable
Do procrastination habits affect your sleep quality?
a Yes, frequently
b Occasionally
c No
Do you often feel overwhelmed by the number of tasks on your to-do list?
a Almost always
b Sometimes
c Rarely
d Never
Do you find it challenging to stay motivated over long-term projects or goals?
a Yes, very challenging
b Sometimes challenging
c No, I stay motivated
How do you typically feel after finishing a task you’ve been putting off?
a Relieved and proud
b Somewhat satisfied
c Indifferent
What is the main thing you would like to achieve by reducing procrastination?
a Better overall well-being
b More realistic goal-setting
c Increased self-confidence
d Renewed motivation and passion
e Higher daily energy
f Other
Platform
You can contact us via email or phone regarding any topics: support@neurosly.com, +37062077111