Life Quality Stress Test

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#006699" TEXT="#080000" background="0a9785a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>The Healing Practice</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="The Healing Practice"><U><B>home</B></U></A></div> <div> <A HREF="id28.htm" TARGET="_top" TITLE="About the Practice"><U><B>About the Practice</B></U></A><B> - </B><A HREF="id4.htm" TARGET="_top" TITLE="Acceuil en français"><U><B>Acceuil en français</B></U></A><B> - </B><A HREF="id34.htm" TARGET="_top" TITLE="Book a Session / Contact"><U><B>Book a Session / Contact</B></U></A><B> - </B><A HREF="clinical_hypnosis___nlp.htm" TARGET="_top" TITLE="Clinical Hypnosis NLP"><U><B>Clinical Hypnosis & NLP</B></U></A><B> - </B><A HREF="therapies___clinical_hypnosis__nlp__gestalt.htm" TARGET="_top" TITLE="Therapies "><U><B>Therapies </B></U></A><B> - </B><A HREF="stop_smoking_therapy.htm" TARGET="_top" TITLE="Stop Smoking Therapy"><U><B>Stop Smoking Therapy</B></U></A><B> - </B><A HREF="id55.htm" TARGET="_top" TITLE="Free Self Help Tests "><U><B>Free Self Help Tests </B></U></A><B> - </B><A HREF="id36.htm" TARGET="_top" TITLE="Meditation Notes"><U><B>Meditation Notes</B></U></A><B> - </B><A HREF="id35.htm" TARGET="_top" TITLE="Links Resources"><U><B>Links & Resources</B></U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#DDDDDD" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>The Healing Practice</B></FONT>   </div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="quick_anger_test.htm" TARGET="_top" TITLE="Quick Anger Test"><U><U>Quick Anger Test</U></U></A><U>   |   </U><U>Life Quality Stress Test</U><U>   |   </U><A HREF="id52.htm" TARGET="_top" TITLE="Quick Stress Test"><U><U>Quick Stress Test</U></U></A><U>   |   </U><A HREF="your_life_chart.htm" TARGET="_top" TITLE="Check Your Life Chart"><U><U>Check Your Life Chart</U></U></A><U>   |   </U><A HREF="success.htm" TARGET="_top" TITLE="Success"><U><U>Success</U></U></A></div> <div> Life Quality Stress Test</div> <bR> <bR> <div> <B>Changing your daily routine and habits can help you signifcantly change the quality of your life.  Often you go through a day without even noticing what you are doing / or not doing.  The chart on this page is designed to help you pinpoint those areas of your life were you are lacking in personal quality and balance.  Complete it once a month, over 6 month, and experience how your life can change.</B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B><IMG SRC="0ab1c040.jpg" border=0 width="540" height="4" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> <div> <FONT SIZE="3" COLOR="#330000" FACE="Eurostile" ><B>Copy and paste this chart into excel or word. Use </B></FONT><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>TRUE</B></FONT><B> </B><FONT SIZE="3" COLOR="#330000" FACE="Eurostile" ><B>or</B></FONT><B> </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>FALSE</B></FONT><B> </B><FONT SIZE="3" COLOR="#330000" FACE="Eurostile" ><B>statement for each day. </B></FONT></div> <bR> <div> <B>The first column below contains questions on your life quality. To the right are the week days where you enter your </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T</B></FONT><B> or </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F</B></FONT><B> statements.</B></div> <div> <B>The results are easy. More red false statements over the course of a week show that you are not treating yourself well enough. </B></div> <div> <B>Time to make some changes with the consistent reds.</B></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="951" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Questions </B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>MON</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="39"><div> <B>TUE</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>WED</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="38"><div> <B>THU</B></div> </tD> <tD VALIGN=TOP WIDTH="37"><div> <B>FRI</B></div> </tD> <tD VALIGN=TOP WIDTH="37"><div> <B>SAT</B></div> </tD> <tD VALIGN=TOP WIDTH="37"><div> <B>SUN</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>What shape were you in when you woke up. Rested </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or restless/tired </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you eat breakfast before leaving the house? Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you spend your morning relatively calm </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or were you stressed/bothered </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Did you take time out for lunch? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Do you remember what you had for lunch? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you stop for small breaks during your working day? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Did you smoke during those breaks </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>? </B><B> No smoking </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T</B></FONT></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>If you smoked during breaks, did you smoke more than usual </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?  No smoking </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T</B></FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you drink a lot of coffee (more then 3 cups) </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>or did you have herbal tea </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you drink many fizzy softdrinks</B><B> </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>or did you drink water (at least 1.5 litres) </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you eat a lot of sweets, or crisps, or other junk food ? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you have some exercise during the day or after work? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 39 WIDTH="624"><div> <B>Did you have problems with your digestion or bowelmovement during the day? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="39" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="39" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="39" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="39" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="39" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="39" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="39" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Were you feeling bloated, or did you have acid heartburn during the day? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you take time out to eat a leisurely dinner? </B><B> Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Do you remember what you had for dinner? Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Were you stressed out during the day? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Were you able to cope with the stress by balancing your mood? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>During your evening, did you choose to engage in something relaxing? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Did you pamper your body with a bath, massage, sauna, etc. today? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Have you made enough time for yourself today? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Did you drink too much alcohol ? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Did you go to bed at a reasonable hour ? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Did you go to bed angry or resentful ? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="624"><div> <B>Did you think of good things before sleep? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>Do you have to take sleeping pills just to go to sleep or stay asleep ? </B><B>Yes </B><FONT SIZE="3" COLOR="#0000FF" FACE="Eurostile" ><B>T </B></FONT><B>or No </B><FONT SIZE="3" COLOR="#BF0000" FACE="Eurostile" ><B>F </B></FONT><B>?</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="41"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="41" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="39"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="39" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="38"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="38" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="37"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="37" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> n</div> <div> <U>    P    </U></div> <div> © 2003-2008 eXTempora limited - All rights reserved.</div> <div> Unauthorized reproduction or distribution of any component of this site, in whole, in part, or as a derivative, </div> <div> is in violation of applicable US federal copyright laws and international copyright treaties.</div> <bR> <bR> <div>  <A HREF="http://www.copyscape.com/"><IMG SRC="http://banners.copyscape.com/images/cs-wh-234x16.gif" ALT="Content copyright protected by Copyscape website plagiarism search" TITLE="Do not copy content from the page. 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