Onboarding Survey

Full Name* This field is required.

Name

Email Adress

1. In the past two weeks, how often have you felt down, tense, or emotionally drained?* This field is required.

1 (Never)

5 (Almost always)

2. When your mood dips, how easy is it for you to identify what’s causing it?* This field is required.

3. How often have you felt low energy or unmotivated, even when you’ve had enough sleep?* This field is required.

4. Lately, how recharged do you feel after rest or downtime?* This field is required.

5. How often do you wake up feeling rested?* This field is required.

6. How often do stress or racing thoughts keep you from falling asleep?

7. How often do you feel pressure to be productive or keep busy?* This field is required.

8. When you make a mistake or fall behind, how kind are you to yourself?* This field is required.

9. How often do thoughts about food, weight, or your body affect your mood?* This field is required.

10. When you notice negative thoughts about your body, how easy is it to shift to self-acceptance?* This field is required.

11. How often do you feel anxious or uncertain in romantic relationships?* This field is required.

12. When something feels off in a relationship, how comfortable are you speaking up or setting a boundary?* This field is required.

13. Do you notice emotional changes before or during your period?

14. If yes, how much do those changes affect your daily life or relationships? (optional)

15. Which of these patterns show up for you most often? (Choose up to 3)

Comparison spirals

People-pleasing

Doom Scrolling on Social Media

Conflict avoidance

Overthinking Social Situations

Emotional numbness

Low energy or burnout

Difficulty saying no

16. Which areas would you like to focus on first? (Choose up to 2)

Relationships

Body image

Perfectionism

Stress & Burnout

Sleep & energy

PMS & mood cycles

17. Is there anything specific that’s been weighing on you lately or something you’d like to make sense of?

I understand that this reflection tool is designed for personal insight and not for diagnosis or medical treatment.* This field is required.

I agree

If you’re in crisis or need immediate help, contact the 988 Suicide & Crisis Lifeline (U.S.) or your local helpline.* This field is required.

I understand and will seek help if needed

Perfectionism Insight

Relationship Insight