1. Do you feel mentally or emotionally drained even after time off? *

Never

Rarely

Sometimes

Often

Almost Always

2. Do you constantly feel like you're "pushing through" life? *

Never

Rarely

Sometimes

Often

Almost Always

3. Do you struggle to switch off or relax without guilt? *

Never

Rarely

Sometimes

Often

Almost Always

4. Do you avoid talking about how you're really feeling? *

Never

Rarely

Sometimes

Often

Almost Always

5. Do you keep yourself busy to avoid your thoughts? *

Never

Rarely

Sometimes

Often

Almost Always

6. Do people see you as "strong" while you secretly feel overwhelmed? *

Never

Rarely

Sometimes

Often

Almost Always

7. Do you turn to alcohol, substances, gambling, scrolling, food, or distractions to escape from stress? *

Never

Rarely

Sometimes

Often

Almost Always

8. Do you repeat patterns you know are hurting you? *

Never

Rarely

Sometimes

Often

Almost Always

9. Do you struggle to stay consistent with habits that would actually help you? *

Never

Rarely

Sometimes

Often

Almost Always

10. Do you sometimes feel disconnected from who you used to be? *

Never

Rarely

Sometimes

Often

Almost Always

11. Do you feel lost even when things look "fine" externally? *

Never

Rarely

Sometimes

Often

Almost Always

12. Have you stopped prioritising yourself emotionally? *

Never

Rarely

Sometimes

Often

Almost Always

13. Is your mental or emotional state affecting your relationships? *

Never

Rarely

Sometimes

Often

Almost Always

14. Are you worried about where your life is heading if nothing changes? *

Never

Rarely

Sometimes

Often

Almost Always

15. Deep down, do you know something needs to change? *

Never

Rarely

Sometimes

Often

Almost Always

Full Name *

Email *

Phone *