STS: Cycle Chart

	BODY PERCEPTION CHART
every evening at approximately the same time. Fill out this chart. Because this is based on your "perceptions" it will work much better if each day is recorded when it happens -- not the next day. perception and reflection changes things. at the end of 30 days, a report will be returned to you.

For each of the following statements please select one answer. Do not skip any question.
My MOOD today was	Positive Negative Indifferent
My BODY felt ...	Attractive Bloated Acceptable

My BODY IMAGE was ...	Looking Good! Too Darn Fat/Skinny/Tall/Short OK

My ENERGY level was ...	A GREAT day to .... I Never Accomplish Anything Business as usual

Outside Events Seemed ...	I Can Handle It Overwhelming Manageable

My SEXUAL Interest was ...	High Low My What?

My OVERALL Outlook ...	Isn't Life Wonderful?! This world sucks! Business As Usual

My Future Plans were ...	Career oriented Family Oriented Whatever

My Interest in Males Was ...	Intense Confrontive Tolerant

My cervical sensation/fluid ...	Dry Wet
If wet .. what kind?

If you have any questions, now is the time to ask them and below is the place. put your question/comment here
Thank you for taking time to fill out this survey! If you have questions, email otc@seizetheseason
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