1. Lately, how does your body feel most days? *

Tense but pushing through

Exhausted no matter how much I rest

Disconnected or numb

Calm sometimes, overwhelmed often

When people ask how you’re doing, you usually say: *

“I’m good” (even when I’m not)

“Busy, but blessed”

I change the subject

I’m honest with very few people

Which statement hits closest to home? *

I’m the strong one everyone relies on

Slowing down feels unsafe

Rest makes me feel guilty

I don’t remember the last time I felt truly free

What keeps you going when you’re exhausted? *

Responsibility

Fear of letting people down

High expectations (mine or others)

Survival mode

How supported do you feel emotionally right now? *

Very supported

Somewhat supported

Mostly alone

Alone even in relationships

When stress builds, what happens inside? *

I shut down

I overfunction and take control

I become irritable or distant

I keep it together publicly and fall apart privately

How safe do you feel being fully yourself right now? *

Very safe

Safe in limited spaces

Rarely safe

I don’t feel safe at all

What do you crave most right now? *

Rest without guilt

Emotional safety

A place to tell the truth

Relief from carrying everything alone

What made you take this quiz today? *

Burnout

Emotional exhaustion

Relationship strain

A quiet breaking point

I’m tired of pretending I’m okay

If nothing changed in the next few months, how would that feel? *

Manageable

Heavy

Unsustainable

I honestly don’t want to think about it

First Name *

Last Name

Email *

Phone

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