There are 5 questions in total. Multiple choice (1 answer per question).

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First Name

How are you feeling right now?

Foggy-headed, hard to focus

Wired or overwhelmed

Flat or low energy

I feel good — just want to stay on top of things

What’s your biggest challenge today?

Mental overload or decision fatigue

Feeling emotionally scattered or anxious

Feeling unmotivated or like I’m dragging

Honestly, no major challenges — just fine-tuning my mindset

What’s your ideal outcome after 5 minutes of breathwork?

Laser-sharp focus and clear thinking

Feeling calm, steady, and centred

A lift in energy and vitality

Just staying in alignment and keeping momentum

What does your body feel like right now?

Heavy head, tense jaw or temples

Tight chest, shallow breathing, jittery

Slumped posture, sluggish muscles

I feel pretty balanced — just noticing my breath and body

If you could bottle up one feeling for today, it would be:

Clear and confident

Calm and composed

Energised and uplifted

Present and aligned with myself