Nervous System Reset Quiz

Question 1: How often do you feel on edge, restless, or like it’s hard to fully relax?*

A. RarelyB. OccasionallyC. OftenD. Almost all the time

Question 2: Do you notice yourself being easily triggered by small things (traffic, interruptions, mistakes)?*

A. No, I stay calm most of the timeB. SometimesC. FrequentlyD. Nearly always

Question 3: At the end of the day, how does your body usually feel?*

A. Relaxed and at easeB. A little tired, but good overallC. Tense or achyD. Completely drained or wired but exhausted

Question 4: Do you often experience physical tension (tight jaw, shoulders, stomach knots)?*

A. RarelyB. SometimesC. OftenD. Constantly

Question 5: When emotions come up (anger, sadness, anxiety), how do you usually respond?*

A. I feel them and move through them with easeB. I sometimes struggle but eventually come back to balanceC. I get stuck in them for a whileD. They feel overwhelming or controlling

Question 6: How is your sleep quality?*

A. Restful, I wake up refreshedB. Mostly good, with occasional restlessnessC. Often restless, I wake up tiredD. Poor, I struggle to fall or stay asleep

Question 7: How easy is it for you to stay present in conversations or while working?*

A. Very easyB. Usually easy, with minor distractionsC. I often drift into worry or overthinkingD. I struggle to stay present at all

Question 8: How connected do you feel to your body and inner guidance?*

A. Very connectedB. Somewhat connectedC. Often disconnectedD. Almost always disconnected

Question 9: In relationships, do you feel safe and grounded, or do you often feel anxious, avoidant, or overwhelmed?*

A. Safe and groundedB. Mostly safe, with occasional challengesC. Often anxious or avoidantD. Overwhelmed and reactive

Question 10: When life challenges arise, how do you typically respond?*

A. I adapt with resilience and calmB. I handle them okay but feel stress afterwardC. I get stuck in stress and have trouble moving onD. I feel like I’m drowning in stress

Question 11: How much joy, lightness, and play do you experience in daily life?*

A. A lot, regularlyB. A moderate amountC. Only occasionallyD. Very little or none

Full Name*

First NameLast Name

Email Address*

example@example.com

I would like to be contacted to learn more about what life could look like when my nervous system is in balance.*

Yes pleaseNo thank you