TEST #1 – Breathing and Health Index - Conscious Breathing Institute

TEST #1 – Breathing and Health Index

Learn more about your current breathing habits by answering the 20 questions in the Breathing and Health Index Questionnaire below. These questions will help you assess your own breathing and become aware of how well your airways work. Blocked airways, over-breathing, and irregular breathing, are all factors that can cause seemingly unrelated health problems. Hence, there are questions relating to health issues such as stomach problems, for example.

The questionnaire is divided into two parts. Question 1-10 constitutes part I and is about your health - physical, mental, and emotional. Part II consists of question 11-20 and is related to your breathing habits.

After answering the 20 questions you'll get a summary of your total score. Please note that if you want to get tips on how to interpret the results, you'll have to enter your email.

Choose the option that best describes your current health status. All questions refer to the past month.

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Health: Overall health: My health status is poor
Sleep: Insomnia, restless sleep, snoring, sleep apnea, grinding/clenching teeth
Energy: Low on energy, morning tiredness, tired during the day, poor concentration
Heart: Heart palpitations, extra heart beats, high pulse Heart (above 75) and/or irregular heart beats
Stress: Internal stress, brain in overdrive, in a hurry, sugar Stress cravings, addictive tendencies
Anxiety: Feeling anxious, depressed, afraid, worried, avoiding Anxiety conflicts, “people pleaser”
Anger: Irritated, angry, impatient, end up in conflicts, overambitious
Stomach: Indigestion, constipation, overeating, need to eat often
Pain: Stiff and/or tense muscles, pain in the back/neck/shoulders, headache
Breathless: Shortness of breath during exercise, lactic acid/low endurance when physically active
Mouth: Open mouth, mouth breathing, dry mouth, dry lips
Nose: Stuffy/runny/itchy nose, sinus congestion, narrow nasal passages, recurrent colds
Pharynx: Lump sensation in the throat, difficulty swallowing, irritated throat, sensitive airways
Shallow: Shallow breathing, difficulty taking a big breath (abdominally)
Fast: Overbreathing (hyperventilation/fast breathing), heavy breathing - difficulty getting air, chest tightness
Big: Sneezing, sighing, yawning, taking big breaths prior to speaking
Holds breath: Daytime apnea/holding breath, “forgetting” to exhale
Noisy: Noisy breathing, mucus in the throat, clearing of throat, coughing, sniffling, wheezing
Posture: Forward leaning and/or slumped posture
Voice: The voice does not carry, hoarseness, squeaky/nasal/ strained voice