DOSE DOSE

Your Happiness Blueprint

Your Results

0%

My name is…

What is your name?

Hi, !

I identify as…

I am
years young.

I call

home sweet home.

I define my ethnic identity as…

Send my Happiness Blueprint results and personalized D.O.S.E. Prescription to…

Please use the same email as your DOSE membership (if you are a member).

D.O.S.E. is a Functional Happiness modality.

It stands for your quartet of happy neurochemicals: Dopamine, Oxytocin, Serotonin and Endorphins. In order to release them, they require brain body activation.

Let us know how you like to move your body.

I like moving my body with…

Choose what makes you feel good.

I like to recharge my mind with…

Choose what makes you feel good.

I like to connect and feel most energized when I am…

Choose what makes you feel good.

I consider myself…

YOUR GOALS

What’s on our mind?

What type of practices would you like to explore inside of D.O.S.E.?

Choose any that make you feel good.

What do you want to overcome?

I want to feel more…

What are your movement goals?

Choose any that resonate with you.

What are your relational goals?

Choose any that resonate with you.

What community events do you find most exciting?

Choose any that resonate with you.

YOUR BRAIN AND
BODY SCAN

How have you been feeling during the past month?

Select the diamond that best represents how often you have experienced or felt the following.

I belonged to a community like a social group, or your neighborhood.

My life has a sense of direction or meaning to it.

I generally feel happy.

I am satisfied with my life.

I am good at managing the responsibilities of my daily life.

In the last month, how often have you felt that…

Select the diamond that best represents how often you have experienced or felt the following.

You were unable to control the important things in your life.

In the last month, how often have you…

Select the diamond that best represents how often you have experienced or felt the following.

Moved your body with dance.

Moved your body with yoga.

Moved your body with fitness.

Gone in and meditated.

Gone in and practiced breathwork.

Gone in and journaled.

Did you
experience the
following physical
symptoms in the
last 2 weeks?

Choose all that apply.

Let’s keep going in.

Typically, how much do you align with the following:

I am satisfied with my social relationships.

I recover quickly from stressful experiences.

I get caught up in the wonderment of life.

I am kind to myself when I am going through a hard time.

I like dancing.

I often get involved with acts of generosity.

I feel completely alone.

Let’s keep going in.

Typically, how much do you align with the following:

I am satisfied with my social relationships.

Let’s keep going in.

Typically, how much do you align with the following:

I recover quickly from stressful experiences.

Let’s keep going in.

Typically, how much do you align with the following:

I get caught up in the wonderment of life.

Let’s keep going in.

Typically, how much do you align with the following:

I am kind to myself when I am going through a hard time.

Let’s keep going in.

Typically, how much do you align with the following:

I like dancing.

Let’s keep going in.

Typically, how much do you align with the following:

I often get involved with acts of generosity.

Let’s keep going in.

Typically, how much do you align with the following:

I feel completely alone.

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

I see myself as…

Here are a number of personality traits that may or may not apply to you.

Type in a number rating to the extent of which you agree or disagree with each pair of traits applies to you, even if one characteristic applies more strongly than the other.

Scale:

  • 1Strongly
    Disagree
  • 2Moderately
    Disagree
  • 3Disagree
    A Little
  • 4Neither
  • 5Agree
    A Little
  • 6Moderately
    Agree
  • 7Strongly
    Agree

MAP YOUR
HAPPINESS BLUEPRINT

When I wake up,
I feel…

For this series of questions, think about where you land among all the options provided. You may align best with a certain word or phrase, or somewhere between each word or phrase.

Click on any of the 5 diamonds on the scale.

I’m at a party and my favorite song comes on. What do you do?

You’re standing in front of a door you’ve never seen before.

How much do you want to see what’s on the other side?

When traveling to a new place, do you typically feel…

In the past year, have you gone through a traumatic experience or experienced a major stressful event?

How do you feel about the future?

How’s your sleep routine been lately?

How many times a day do you feel or express gratitude?

How connected do you feel to your friends and family?

How often do you experience touch on a daily basis?

How often do you
show affection
towards your family,
friends or partner?
(romantically or platonically)

If someone in your life is going through something — like a break up, death in the family, trauma or loss:


Do you feel concerned for that person?

Your friend is running 15 minutes late to a hang-out. Do you feel…

Generally, how do you feel when you’re alone with yourself?

How do you feel after dancing, running or working out?

How often do you experience discomfort in your body on a typical day?

You are walking down the street and a stranger approaches you, asking if you’d like to donate to their charity.


What would you do?

How did you hear about D.O.S.E. by Daybreaker?

Analyzing your
Happiness Blueprint…