2. If you have incorporated one or more, please indicate how successful each has been in helping you reduce your level of stress, using the scale below

   Levels of Success

   1 = poor
   2 = fair
   3 = satisfactory
   4 = good
   5 = excellent
   6 = cannot evaluate at this time

   
   

   Personal Stress Management Exercise	1	2	3	4	5	6
   Breathing exercises
   Meditation exercises

Section II — Workshop Action Plan

3. During or after the workshop, did you complete a Personal Change Plan, identifying the area for change, what was to be done, when it was to be done, and who could help you?

   Yes No (if no, please skip ahead to Question 6)

4. Have you implemented any of the actions you identified in your Personal Change Plan?

   Yes No (if no, please skip ahead to Question 6)

5. If you have implemented one or more of the actions in your Personal Change Plan, please indicate how successful each has been in helping you reduce your level of stress, using the scale below

   Levels of Success

   1 = poor
   2 = fair
   3 = satisfactory
   4 = good
   5 = excellent
   6 = cannot evaluate at this time

   
   

   Personal Plan Action	1	2	3	4	5	6
   (please specify)
   (please specify)
   (please specify)
   (please specify)