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22
Questions
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1
How do you usually feel when you first wake up in the morning?
Exhausted but wired
Slow and stiff
Mentally foggy
Anxious or irritable
Hungry and shaky
Pretty good and ready to go
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2
What’s your energy like around 3–4pm?
Wired but crashing
Cold or heavy
Foggy and unmotivated
Snappy or overstimulated
Totally drained
A bit tired, but still going
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3
What does your stress response look like?
Hyper-alert and tense
Shut down or passive
Zoning out or distracted
On edge or easily triggered
Cry easily or feel helpless
I notice stress but manage ok
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4
How’s your digestion?
Bloated and on-the-go
Sluggish and cold
Forget to eat or feel blah
Acid or cramping
Always hungry but still tired
Mostly good, occasional blips
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5
What do you crave most?
Coffee and or salt
Carbs, soup, warm comfort
Bread and snacks
Rich, spicy or crunchy food
Sugar, chocolate, fast food
Balanced meals, light snacks
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6
What best describes your sleep?
Mind racing, hard to fall asleep
Cold and disrupted
Wake up groggy or too early
Restless or overheating
Wake often, can’t settle
Pretty good, just not enough
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7
How would you describe your mood lately?
Restless or edgy
Flat or unmotivated
Blah or disconnected
Reactive or overwhelmed
Teary or fragile
Mostly steady maybe a bit tired
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8
What’s your movement style?
Can’t stop moving
Sluggish or unmotivated
Mostly sedentary
High intensity or push through
Want to move but too tired
Gentle movement when I can
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9
What does your skin or hair say?
Flushed or breaking out
Pale or dry skin
Dull or tired looking
Brittle, dry or flaky
Oily or reactive
Mostly balanced
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10
How emotionally steady do you feel day to day?
I’m either full on or flatlined
I tend to bottle things up
I feel disconnected emotionally
I’m easily triggered
I’m often teary or overwhelmed
I process things fairly well
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11
Do you feel present in your body?
I live in my head
I feel stuck or heavy
I don’t really notice
I’m reactive or jumpy
I feel empty or hollow
I check in with myself often
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12
What’s your eating style like?
Irregular, rushed, distracted
Comfort food eater
Boredom snacking
Crave crunch and spice
Forget meals, lack protein
Mindful and balanced
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13
How’s your cycle or hormone health?
Mood swings and insomnia
Irregular or slow
Flat mood, low libido
PMS, cramps, inflammation
Heavy periods, fatigue
Mostly steady
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14
How’s your self-care practice?
I don’t stop long enough
It feels like a chore
I forget it even exists
Only when I’m breaking down
I try, but I’m always exhausted
I’ve got a rhythm that mostly works
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15
What’s your current biggest challenge?
Slowing down and switching off
Getting going and staying motivated
Feeling clear and focused
Managing moods and stress
Having enough energy to function
Staying consistent with the good stuff
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16
What’s your relationship with nature or outdoors time?
I love it but rarely get there
I want to, but I’m too tired
I forget or don’t feel the pull
Crowds or noise overwhelm me
I need it but can’t make time
I get out when I can and love it
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17
How do you feel after social interaction?
Wired and overstimulated
Drained and heavy
Zoned out or forgetful
Irritated or overstretched
Tired but nourished
I manage my energy well
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18
What drives you to make change?
I hit a wall
I get fed up with feeling stuck
I crave clarity and purpose
I want to stop overreacting
I want to feel strong and nourished
I’m feeling good and want to maintain it
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19
What does “thriving” look like to you?
Calm and in control
Light and energised
Clear and purposeful
Emotionally balanced and strong
Resilient and well-fed
Balanced with room to grow
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20
What do you secretly wish someone would help you with?
Switching off and slowing down
Feeling lighter and more energised
Clearing the mental clutter
Managing moods and inflammation
Feeling nourished and supported
Staying consistent with self-care
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21
Name
First Name
Last Name
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22
Email
example@example.com
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