EARTHBODYMAP

90-Day Human–Earth Connection Worksheet

SECTION 1: PARTICIPANT PROFILE (Fill Once)

Purpose: Establish baseline identity + environment

Name (Optional):

Age:

Gender:

City & Country:

Latitude:

Longitude:

Daily Environment: ☐ Urban ☐ Semi-Urban ☐ Rural ☐ Near Nature

Do you sit near a tree? ☐ Yes ☐ No

Current Lifestyle: ☐ Sedentary ☐ Moderate ☐ Active

Sleep Duration (hours):

Any existing health concerns:

SECTION 2: BASELINE (DAY 0 – Before Starting)

Purpose: Measure starting state (very important for impact)

Rate from 1 (Low) to 10 (High):

Mental Calmness:

Stress Level:

Focus/Clarity:

Emotional Stability:

Energy Level:

Sleep Quality:

Breath Depth (self-awareness):

Breathing Count Test:

Count breaths per minute:

Reflection Question:

“How do I currently feel about my life and my connection with Earth?”

SECTION 3: DAILY PRACTICE LOG (DAY 1–90)

Practice Instructions (Must be printed clearly)

Preferable touching spine to tree
Close eyes
Inhale slowly (4 seconds). Hold (4 seconds). Exhale slowly (4 seconds). Hold (4 seconds).
This should repeat 10 times
ॐ chanting
- O – Represents the water element
- U – Represents the air element
- M – Represents the fire element
Countiune for 5-10 minutes as per your convience
Feel viberation in the body + connection with the Earth

Do this once or twice daily

Daily Entry Format

Day #:

Date:

Practice Duration (minutes):

Location: ☐ Indoors ☐ Outdoors ☐ Near Tree

Rate (1–10):

Calmness after practice:

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Mental clarity:

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Emotional balance:

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Energy level:

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Breath Awareness:

• Breath felt: ☐ Shallow ☐ Moderate ☐ Deep ☐ Very Slow

Body Awareness:

• Where vibration felt most:
☐ Head ☐ Chest ☐ Navel ☐ Spine ☐ Whole Body

Earth Connection (Very Important)

• Did you feel connected to Earth?
☐ Yes ☐ No ☐ Slightly

• Describe in one line:

Mind Observation:

• Dominant state:
☐ Restless ☐ Neutral ☐ Calm ☐ Deep Silence

One-Line Reflection:

“Today I felt…”

SECTION 4: WEEKLY REVIEW (Every 7 Days)

Purpose: Identify patterns (this is where science begins)

Rate Changes (1–10):

• Stress reduction:

• Emotional control:

• Focus improvement:

• Sleep improvement:

Observations:

• Has breathing slowed naturally?

• Any changes in reactions/anger?

• Any physical improvements?

Key Question:

“What is changing within me that I did not expect?”

SECTION 5: 30 / 60 / 90 DAY DEEP REFLECTION

Day 30:

• What has improved the most?

• What was difficult?

• Do you feel more connected to yourself?

Day 60:

• Has your thinking changed? How?

• Are your reactions slower/more aware?

• Do you feel connection with nature/Earth?

Day 90:

• What transformation do you notice?

• Compare Day 0 vs Day 90:

• Has your breathing pattern changed permanently?

Final Question (Core of Project):

“Do you feel that your inner state and Earth are connected? Explain.”

SECTION 6: FINAL MEASUREMENT (DAY 90)

Repeat baseline scoring:

Calmness:

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Stress:

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Focus:

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Emotional stability:

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Energy:

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Sleep:

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Breath depth:

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Breaths per minute:

SECTION 7: INDIVIDUAL GAINS (Very Important)

Mental

Reduced stress
Better focus
Emotional stability

Physical

Slower breathing
Improved sleep
Nervous system balance

Experiential

Inner calm
Self-awareness
Connection with Earth

SECTION 8: PROJECT UTILITY (Will use as Data, Not name, just impacts)

This worksheet allows to:

Create real human data (before–after)
Measure breath–mind–earth connection
Build scientific credibility
Develop case studies + research papers
Present to institutions globally