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Question 1 of 11
What's your name and where are you joining us from?
Question 2 of 11
What's your preferred contact method? Cell phone or email? Please provide it below!
Question 3 of 11
How often do you find yourself being pulled between multiple tasks at once, unable to commit to any one thing?
All the time
Often but not all the time
Here and there
Question 4 of 11
How much do you currently have on your plate?
Lots I feel pulled in all directions!
A lot but I’m just about managing
A moderate amount nothing I can’t handle
I currently have very little on my plate
Question 5 of 11
How overworked are you?
Pushing it pretty hard but managing
Moderately I work a lot but it’s totally fine
Not overworked at all
Question 6 of 11
How many times per week do you take time off to recover? Think sauna, yoga, getting a massage.
About 3-5 times per week
1-3 times per week
It's very rare I get a chance to recover
Question 7 of 11
How clear are you about how to create your ideal life?
I have a general idea
It's pretty hazy
I have zero clarity
Question 8 of 11
How difficult is it for you to turn off?
It's tough but I can do it when I really need to
I can "turn off" pretty easily
Question 9 of 11
How anxious do you feel day to day?
I’m anxious almost every second of the day
I'm pretty anxious
I don't feel anxious at all
Question 10 of 11
Which of the following scenarios do you most resonate with?
Everything is moving so fast, I can barely keep up, I’m emotionally and psychologically exhausted from work.
I’m really struggling to focus on one thing, I don’t know what I want or how I would even get it.
I’m running on cortisol and adrenaline I can’t switch it off, I never have enough time for everything on my plate, I’m physically drained I always feel the need to take a nap.
Question 11 of 11
Do you prioritize and organize your time or does life just unfold (and sometimes run you over)?
I plan and organize everything in my life
I’m definitely in the driver’s seat but could be more organized.
I’m moderately organized
Everything in my life just seems to happen and sometimes runs me over