First Name *

Last Name *

Phone *

City

State

Email *

When your schedule feels overwhelming, what’s your first reaction? *

A) Say no to extra commitments to protect your time. (Boundary Boss)

B) Take a moment to meditate or clear my mind. (Mindful Maven)

C) Create a prioritized to-do list and get to work. (Time-Saving Strategist)

D) Push through the overwhelm and handle it all. (Resilient Leader)

How do you typically manage stress during a busy workweek? *

A) Set clear boundaries to avoid overcommitting. (Boundary Boss)

B) Use mindfulness practices like journaling or yoga. (Mindful Maven)

C) Plan my tasks carefully to avoid last-minute stress. (Time-Saving Strategist)

D) Power through it and rest when everything is done. (Resilient Leader)

What’s your relationship with saying no? *

A) I’m confident saying no when needed. (Boundary Boss)

B) I struggle but try to say no when I’m overwhelmed. (Mindful Maven)

C) I use my schedule as a reason to say no. (Time-Saving Strategist)

D) I rarely say no because I don’t want to let anyone down. (Resilient Leader)

Which best describes your daily self-care routine? *

A) I focus on setting boundaries to protect my energy. (Boundary Boss)

B) I incorporate mindfulness or meditation regularly. (Mindful Maven)

C) I keep my self-care simple and time-efficient. (Time-Saving Strategist)

I don’t always prioritize self-care but recover quickly when I need to. (Resilient Leader)

What’s your go-to way to recharge after a long day? *

A) Spend some time alone to decompress. (Boundary Boss)

B) Meditate, journal, or listen to calming music. (Mindful Maven)

C) Plan the next day to feel organized and relaxed. (Time-Saving Strategist)

D) Relax with family or friends, even if I’m tired. (Resilient Leader)

What do you find most challenging about self-care? *

A) Balancing my needs with others’ expectations. (Boundary Boss)

B) Slowing down and being present. (Mindful Maven)

C) Finding the time to fit it into my busy schedule. (Time-Saving Strategist)

D) Remembering to make it a priority before I burn out. (Resilient Leader)

How do you handle criticism or feedback? *

A) I consider the feedback but protect my boundaries. (Boundary Boss)

B) I reflect deeply to understand and improve. (Mindful Maven)

C) I focus on actionable steps to address the feedback. (Time-Saving Strategist)

D) I take it in stride and move forward with resilience. (Resilient Leader)

What’s your biggest strength in managing your work-life balance? *

A) I’m great at setting and maintaining boundaries. (Boundary Boss)

B) I stay grounded and calm under pressure. (Mindful Maven)

C) I maximize my productivity to free up personal time. (Time-Saving Strategist)

D) I handle challenges with grace and determination. (Resilient Leader)

How do you approach goal-setting? *

A) I focus on realistic goals that don’t compromise my well-being. (Boundary Boss)

B) I align my goals with my values and inner peace. (Mindful Maven)

C) I break my goals into manageable tasks to stay on track. (Time-Saving Strategist)

D) I set big goals and push myself to achieve them no matter what. (Resilient Leader)

What do you want to improve most about your self-care? *

A) Becoming more comfortable saying no. (Boundary Boss)

B) Practicing mindfulness more consistently. (Mindful Maven)

C) Finding ways to save time and simplify my routine. (Time-Saving Strategist)

D) Recognizing when to slow down before burning out. (Resilient Leader)

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