Self-Care Audit

How do you typically spend your free time?

On a scale of 1-10, how would you rate your current stress levels?

What activities make you feel most relaxed and rejuvenated?

How often do you engage in physical exercise, and what type of exercise do you enjoy?

Do you consider yourself... *

Beginner in skincare

Average in skincare

Pro in skincare

What is your primary concern? *

Aging

Sensitive Skin

Both

What are you mornings like? Do you have any morning routines?

How well do you sleep, and do you have any bedtime routines?

What are your eating habits like, and do you feel your diet is balanced and nutritious?

Do you have any hobbies or creative outlets that you engage in regularly?

How often do you take time for yourself without any obligations or distractions?

What are your current self-care practices, and do you feel they are effective?

Do you have a support system or people you can talk to when you’re feeling down?

Consider moments in your life when you have felt a strong sense of meaning or purpose. What were you doing, and what made those experiences significant?

First Name *

Last Name

Phone *

Email *

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