OFF-CUSHION SYSTEM: INTAKE & CALIBRATION
Welcome to the Off-Cushion System.
This form has three specific purposes:
- Safety: To ensure your nervous system is ready for this work.
- Baselines: To establish your data points so we can measure your ROI.
- Fuel: To extract the specific motivation you will use during your Morning Prime every day. Write answers you want to read every morning.
PART 1: THE BASELINE (Safety Check)
We need to ensure you are safe to train.
- Full Name:
- Role/Occupation:
- Stability Check:
This programme involves deep nervous system regulation. Do you have any active clinical conditions (e.g., untreated trauma, severe dissociation) that might make somatic focus unsafe right now?
No, I am stable and ready to train.
Unsure/Yes (Please consult your doctor before starting).
- Emergency Contact (Name & Phone): (Optional but recommended)
PART 2: THE METRICS (Your Data)
Please rate the following on a scale of 1–10 based on your last 30 days.
- Baseline Stress: How high is your average daily stress load?
(1 = Zen / 10 = Constant Overwhelm)
[ 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 ]- Reactivity: How often do you lose your cool or shut down?
(1 = Never / 10 = Multiple times a day)
[ 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 ]- Recovery Speed: When you get stressed, how long does it take to get back to baseline?
(1 = Instant / 10 = I stay stressed for days)
[ 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 ]- Mental Clarity: How often do you experience brain fog or decision fatigue?
(1 = Crystal Clear / 10 = Walking through mud)
[ 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 ]- Presence: How able are you to be fully present with family/partners?
(1 = Fully Engaged / 10 = Physically there, mentally gone)
[ 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 ]PART 3: THE DIAGNOSTIC (Locate the Glitch)
We need to identify exactly where your system is crashing.
- The Glitch: Describe the specific moment in the last week where you felt the most hijacked, stressed, or reactive at work or home.
- Examples: "I froze when the CEO asked me a question," "I sent a passive-aggressive email at 10 PM," "I snapped at my partner for asking about dinner."
- Your Answer:
- The Hidden Cost: You are likely "coping" well on the surface. But what is the hidden tax you are paying?
- Examples: "I hit my revenue targets, but I can't sleep without wine," "I am 'efficient' at work, but I feel numb and hollow," "I am getting promoted, but my partner says I'm emotionally absent."
- Your Answer:
- The Thief: If your stress was a thief, what is it stealing from you right now?
- Examples: "It's stealing my confidence in meetings," "It's stealing my ability to switch off on weekends," "It's stealing my patience with my kids."
- Your Answer:
PART 4: THE FUEL (Your Why)
THE FUEL (Your Morning Anchor)
You'll use this every morning during your 20-second Prime. We'll start by capturing the full picture, then compress it into your daily anchor.
- The Cost of Inaction (3 Years from Now):
If nothing changes and you're still running the same stress patterns:
- One word for your career state: _________
- One word for your relationship: _________
- One word for your energy level: _________
- The Vision (Protocol Complete):
When you've mastered the Reset and pressure no longer hijacks you:
- Crisis meetings feel: _________
- Your partner notices: _________
- Being the calmest person in the room feels: _________
- Capture the Full Picture (1-2 sentences):
Now write out what's truly at stake. Make it visceral—this helps lock in the emotional charge.
Example:
"I refuse to become the burnt-out leader who loses their family because they couldn't regulate their nervous system."
Your Answer: _________
- Your Morning Anchor (2–3 short phrases max):
Now compress that into the words you'll actually use each morning during your Morning Prime.
Examples: "Present dad | Effective leader" or "Calm mastery | Stop burnout"
Your Answer: _________
PART 5: THE STRATEGY (Clearing the Path)
- The Past: What have you tried before (meditation apps, therapy, executive coaching)? Why did it fail?
- Examples: "Apps were too boring," "Therapy was good but didn't help in the moment of stress," "I just got too busy."
- Your Answer:
- The Threat: Look at your calendar for the upcoming month. What is the specific obstacle that is most likely to derail your practice?
- Examples: "The quarterly board meeting," "My upcoming business trip," "The morning rush with the kids."
- Your Answer:
- The Plan: When that obstacle hits, what is your plan to stay in the Loop (Prime, Train, Execute, Review)?
- Examples: "I will do the audio on the plane," "I will do a 5-minute version instead of skipping it," "I will prioritise the Reset over the Gym for that day."
- Your Answer:
PART 6: THE CONTRACT
- Commitment Check:
I understand: This is a training protocol, not a substitute for medical or psychiatric care.
I commit: I commit to sequential mastery. I agree to fully stabilise the Hardware (Phase I: Layers 1–3) before I apply to unlock the Source Code (Phase II: Layers 4–8).