When life gets heavy, how do you usually cope? *

A. I push through, I don’t have time to fall apart.

B. I shut down or avoid people.

C. I journal or try to manage on my own.

D. I reach out and talk about it.

How often do you feel like your body is tired, but your mind can’t stop? *

A. All the time.

B. Often.

C. Sometimes.

D. Rarely.

How connected do you feel to your emotions lately? *

A. Disconnected: I’m just functioning.

B. Numb — I feel things but can’t name them.

C. Somewhat connected.

D. Fully aware and grounded.

When someone asks “Are you okay?”, what’s your honest inner answer? *

A. No, but I keep going.

B. I don’t know. I'm alive.

C. I’m healing.

D. Yes. I’ve been doing the work.

How much of your current emotional stress feels inherited or learned?

A. Most of it.

B. Some of it.

C. Unsure.

D. Very little.

Where should we send your results?

First Name *

Last Name *

Email *

Phone

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By checking this box and providing my phone number, I give my prior express written consent to receive recurring automated marketing text messages from SHIFT Your Journey® Mental Health Counseling, PLLC. Messages may include practice updates, new service announcements, wellness resources, blog content, and mental health awareness information. Message frequency varies. Message and data rates may apply. Consent is not a condition of receiving services. Reply HELP for support or STOP to opt out at any time. For more information, review our [Privacy Policy] and [Notice of Privacy Practices] and [Terms and Conditions] at shiftyourjourney.com.

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