Self-Care Survey (takes approximately 3 minutes)
Receive 10% off your next purchase when you complete the survey below.
Name
Email
example@example.com
Email (bcc)
example@example.com
Gender
Male
Female
Prefer not to say
Age Bracket
65 years and over
55-64 years old
45-54 years old
35-44 years old
25-34 years old
16-24 years old
Family Size
How many people are in your family?
General Self-Care Habits
1. How often do you set aside time specifically for self-care?
Daily
Weekly
Monthly
Rarely
Never
2. What does self-care mean to you?
3. On a scale of 1-10, how satisfied are you with your current self-care routine?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
4. What prevents you from prioritising self-care?
Time
Budget
Guilt
Lack of ideas
Other
4. What prevents you from prioritising self-care?
Time
Budget
Guilt
Lack of Ideas
Other
Struggles & Challenges
5. What is your biggest challenge when it comes to self-care?
6. Do you feel guilty about taking time for yourself? Why or why not?
7. What emotions come up when you think about making self-care a priority?
Overwhelmed
Relaxed
Guilty
Excited
Neutral
Other
7. What emotions come up when you think about making self-care a priority?
Overwhelmed
Relaxed
Guilty
Excited
Neutral
Other
Preferences & Interests
8. What type of self-care activities are you most interested in?
Skincare
Makeup
Nutrition/Food
Sleep
Relaxation/Meditation
Yoga
Exercise
Reading
Socialising
Being in Nature
Other
9. What products or services would make self-care easier for you?
10. What would you like to learn or improve about self-care?
Techniques to Relax
Building a Routine
Using Natural Products
Other
What kind of products or information would you like to see more of from Natural Mum this year?
Thank you for taking the time to complete this survey, we truly appreciate the feedback. If you have any questions, please do not hesitate to reach out.
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