Meet Our Instructors

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Self Assessment

Lisa Mokovic

Health Coach

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Jason Moran

Yoga Trainer

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Kiana Chapman

Yoga Trainer

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David Bones

Health Coach

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Kathy Beck

Yoga Trainer

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Sara Doe

Yoga Trainer

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Self Assessment for Sleep Disorder

Please fill out this short questionnaire to provide some general and anonymous background about you and the issues.

Disclaimer

Online screening is one of the quickest and easiest ways to determine whether you are experiencing symptoms of a mental health condition.

Mental health conditions, such as depression or anxiety, are real, common and treatable. And recovery is possible.

Take Test

Depression

Depression and anxiety are two of the most common mental health concerns. At Actum, we can help you develop an individualized treatment plan from an integrative lens.

Stress

Trauma is anything that overwhelms an individual’s ability to cope. Whether it is from the workplace or personal matters, we can support you in your healing.

Headache

It is not uncommon for a person to have co-occurring issues, and one concern is usually intensified by the other.

Disclaimer

The Actum Health self-assessment quiz is a tool to look for symptoms that can show up in some mental illnesses and not meant to be diagnostic.

An accurate diagnosis for depression or anxiety and other psychiatric disorders should be made by your family doctor or a qualified mental health professional after a complete evaluation.

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Self Assessment for Sleep Disorder

1. Difficulty falling asleep

NoneMildModerateSevereVery Severe

2. Difficulty staying asleep

NoneMildModerateSevereVery Severe

3. Problems waking up too early

NoneMildModerateSevereVery Severe

4. How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?

Very SatisfiedSatisfiedModerately SatisfiedDissatisfiedVery Dissatisfied

5. How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?

Not at all NoticeableA LittleSomewhatMuchVery Much Noticeable

6. How WORRIED/DISTRESSED are you about your current sleep problem?

Not at all WorriedA LittleSomewhatMuchVery Much Worried

7. To what extent do you consider your sleep problem to INTERFERE with your daily functioning (e.g. daytime fatigue, mood, ability to function at work/daily chores, concentration, memory, mood, etc.) CURRENTLY?

Not at all InterferingA LittleSomewhatMuchVery Much Interfering