Daily SSP Check-in Daily SSP Check-in Please take 2 minutes to check in after your SSP listening session. Date Time 000102030405060708091011121314151617181920212223 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 First name * Email * Did you do your SSP listening today? * Yes No Please give brief details about what got in the way * eg unexpected circumstances, forgot, too tired… no judgment – this is just for information! How did you feel before you started listening? * 1 2 3 4 5 1 = Calm and grounded, 5 = Very dysregulated How did you feel after listening? * 1 2 3 4 5 1 = Calm and grounded, 5 = Very dysregulated Did you notice any signs of nervous system dysregulation while listening? Yes No eg feeling anxious, restless or jumpy, numb or shut down, tightness in chest, racing thoughts, tearfulness, dizziness, nausea Please give details about what you noticed and what you did next * eg I noticed some tightness in my chest, so I paused and did a breathing exercise. Did you notice any signs of increased regulation or a sense of safety while listening? * Yes No eg feeling calmer, breathing more deeply or slowly, relaxed jaw or shoulders, increased sense of connection to self or others, smiling more easily Please give details of what you noticed * Any observations or reflections about how you’ve been between sessions? eg I noticed I slept better /worse last night, or I felt more / less connected to others HRV Submit If you are human, leave this field blank.
