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- Which best describes your current season?
- What are you currently experiencing?
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- Latest caffeine time
- Screen Time after 9pm?
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- Do you exercise
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- Water intake per day
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- Skip Meals
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- Metabolic/thyroid issues
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- Digestion Most Days
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- Which spiritual practices do you engage in? (Select all that apply)
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- Are you currently in therapy or under psychiatric care?
- Are you taking any medications that affect mood, sleep, or nervous system regulation?
- Have you ever experienced any of the following?
- Do you have a current support system (therapist, psychiatric care, counselor, trusted friends/family)?*
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- Should be Empty: