Email
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First Name
Last Name
1. How do you usually start your day?
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I check my phone and scroll for a bit. 📱
I dive straight into responding to people’s messages/emails. 💬
I have no plan, just go with the chaos. 🌪️
I wake up already feeling drained or heavy. 💔
I jump into my task list, but don’t always know what matters most. 📋
2. Which statement feels most true?
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I often say yes when I really want to say no. 🙃
I lose hours on social media without realizing it. ⏳
I feel like I’m doing everything and getting nowhere. 🚧
I’m constantly mentally exhausted, even when I’m not doing much. 😩
I want to be focused, but I can’t seem to organize my day. 🗂️
3. How do you feel at the end of most days?
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Drained, like I’ve been on all day but didn’t do what I really needed to. 🥱
Tired from dealing with other people’s drama or expectations. 😤
Guilty for wasting time online or procrastinating. 😬
Scatterbrained and like my to-do list grew, not shrank. 🌀
Emotionally depleted — like something’s off but I can’t name it. 💔
4. What’s your relationship with your calendar or to-do list?
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What calendar? 😅
I use it, but spend more time rearranging it than following it. 🔄
I let others fill it up before I prioritize myself. 📆
I avoid it because it stresses me out. 😵
I plan, but get pulled into apps, notifications, and distractions. 📲
5. When you try to focus, what usually interrupts you?
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Notifications and texts. 📱
Thoughts about how people might be feeling about me. 😬
My emotions or mental fatigue. 😓
The feeling that I don’t know where to start. 🧩
I jump between tasks and never fully complete anything. 🔁
6. How do you treat your own needs in your schedule?
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I plan around everyone else. 🤷
I intend to prioritize myself, but never do. 😩
I forget to eat, move, or rest sometimes. 😐
I start and stop a lot — no consistency. ⏱️
I let the day take me where it wants, and I go along. 🛶
What’s the real reason your to-do list doesn’t get done?
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I’m too available to everyone else. 🙋
I get sucked into scrolling or switching tabs. 🔄
I can’t find a system that actually works for me. 🔧
I feel emotionally low or unmotivated most of the time. 💭
I’m constantly “doing,” but never feel done. 🏃