Struggling with sleep deprivation? Feeling emotionally exhausted and nutritionally depleted? What are the signs and symptoms?
Are you struggling with Post Natal Exhaustion and Depletion?
Mothers are so busy from day 1 that they don't often get the time and attention they personally need to heal. Most mothers go on to experience exhaustion, forgetfulness, indecision, low energy / mood swings, sugar cravings and some form of 'baby brain' - not just within the first few months after giving birth, but lingering on well into the first seven years! Take this quiz below to help bring you some awareness to what you are experiencing, know that you are not alone and you can opt in to receive further support. Keep record of your numbers and add them up as you go.
Are you currently pregnant or breastfeeding?
Yes
No
How old is your child/children?
Do you wake up in the morning with some energy?
No (3)
Sometimes (2)
Frequently (1)
All the time (0)
Do you experience severe brain fog?
No (0)
Sometimes (1)
Frequently (2)
All the time (3)
Do you find it a struggle to keep up with normal every day jobs like showering, getting dressed, food organizing and preparation?
No (0)
Sometimes (1)
Frequently (2)
All the time (3)
Do you often feel like you are all alone and lack support?
No (0)
Sometimes (1)
Frequently (2)
All the time (3)
Have you experienced a significant loss of confidence and self-esteem?
No (0)
Sometimes (1)
Frequently (2)
All the time (3)
Have you had a medical condition start during or after pregnancy?
No (0)
Sometimes (1)
Frequently (2)
All the time (3)
Are you currently getting support from your medical professional to help you with this?
Are you experiencing levels of anxiety that are way above your norm?
No (0)
Sometimes (1)
Frequently (2)
All the time (3)
Do you feel like you are overly aware during sleep?
No
Sometimes (1)
Frequently (2)
All the time (3)
Do you have dreams while you sleep?
No (3)
Sometimes (2)
Frequently (1)
All the time (0)
Do you have any desire for healthy bedroom habits with your partner?
No (3)
Sometimes (2)
Frequently (1)
All the time (0)
Do you feel overwhelmed and unable to cope?
No (0)
Sometimes (1)
Frequently (2)
All the time (3)
Number: What is your total score?
Anything else you would like to share with me? (Optional) Ex. Traumatic Birth experience, struggle with digestive issues (constipation/diarrhea/lethargy associated with meals?)
Would you like to discuss your score, chat about how you are feeling and look at some guidelines and support we can put in place to help you to feel great again?
Absolutely! Please book me in for a complimentary 15min call
Maybe, I have a few questions first
No, but thank you for bringing all this to my attention. I appreciate it!
Just my score results please
Based on your current circumstances and the benefits you are looking to achieve - If you are looking for extra support, what type of monthly investment plan could you put into place, as a starting point, for the next 12 weeks to put towards re-nutrienting your body so you can feel alive again? Tick all that apply. My motto is 'That ALL may prosper' and my heart is to help so no budget is too small.
$50
$70-$100
$100-$150
$150-$200
$250-$300
$350
NONE right now, please add me to your free Facebook support group for supporting clean, healthy living and tag me in the Free 7 Day dietitian approved meal plan.
I have chosen a category above and would like to also book in a free 15min complimentary call. Please also add me in to your free Facebook support group for supporting a clean healthy lifestyle and tag me in the free 7 day dietitian approved meal plan.
If you would like to be contacted to discuss your score, where you are at and how I may be able to help you please fill in your personal details below.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What country do you currently live in?
Please include the best way to find you on social media (ex. @pearl.mcneil.10 on IG or your Facebook name
Which type of communication do you prefer?
Email
Phone
Through direct message on my social media
What is the best time of day to contact you?
Anytime / email
10am - 12midday
12 - 2pm
8pm - 9pm
How did you find me / this survey? Through a friend (Please tell me their name) or a social media channel?
Thank You so much for taking the time to fill this survey out. I hope it has brought you some clarity and awareness to where you are, and a knowing that what you are experiencing is a part of your journey and that you can be nurtured back to health! I am looking forward to serving you and helping you feel your best again! I will do my best to get back to you with in 48 hours (during regular business hours)
Regular business hours: Mon-Fri 9-3pm NZST
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