Body Perception Questionnaire - Melbourne Integrated Therapies
Melbourne Integrated Therapies

Body Perception Questionnaire

Short Form (BPQ-SF)
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Before you begin

This questionnaire helps us understand your body awareness and how your autonomic nervous system is functioning. It was developed by Dr Stephen Porges and is grounded in polyvagal theory, which is the foundation of the somatic work we are doing together.

There are no right or wrong answers. Simply respond based on your typical daily experience. The questionnaire takes about 10 minutes to complete.

Your responses will be shared only with your practitioner and used to personalise your coaching and track your progress over time.

Your details

Part I: Body Awareness

Please rate your awareness of each of the characteristics described below. Select the answer that most accurately describes you.

Part II: Autonomic Nervous System Symptoms

In your daily life, how often are you aware of the following sensations?

Please answer all questions before submitting.

Your results will be calculated and shared with your practitioner.

Your Results

Here is a summary of your Body Perception Questionnaire scores. Your practitioner will discuss these with you in your next session.

Body Awareness
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Autonomic Symptoms
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Supradiaphragmatic
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Subdiaphragmatic
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What do these scores mean? Your Body Awareness score reflects how sensitive you are to internal bodily signals like heartbeat, breathing, and muscle tension. Your Autonomic Symptoms scores reflect how frequently you experience stress-related physical symptoms. These are not good or bad scores. They give us a starting point to understand how your nervous system is functioning and to track how it changes as we work together.