The "Energy Leak" Quiz
Find out what's draining your health, your heart, and your relationships in 5 minutes. Get your personalized results across 15 dimensions of wellness and connection, and discover how areas of wellness affect your ability to connect and thrive.
Are you 18 years old or older?
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Yes
No
Name
*
First Name
Last Name
Email
*
example@example.com
Relationship Status
Please Select
Intentionally Single
Casually Dating
Single & Searching
Partnered
Married
Separated/Divorced
Widowed
It's Complicated
Prefer Not to Say
What's the one thing you want to change most in the next 90 days?
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Please Select
Heal from a breakup
Find purpose
Reduce loneliness
Truly love yourself
Build confidence
Improve relationships
Become a high-quality partner
Have more intimacy
Feel stronger and healthier
Find a partner
Feel more alive
Have more freedom
Other
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Pillar 1: VITALITY (Heal Your Body)
Please rate your level of agreement with the following statements from 1 (Strongly Disagree) to 5 (Strongly Agree).
Physical: I have the high, sustained energy required to be fully present and engaged with the people I love at the end of the day.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Nutritional: I am intentional about how my food and hydration choices impact my mood, patience, and emotional reactivity.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Functional: I manage my daily tasks and schedule effectively so that I don’t bring "chronic exhaustion" into my personal life.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Environmental: I curate my home and digital spaces to be a sanctuary for connection rather than a source of distraction.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Financial: I feel secure and transparent in my finances, ensuring that money stress doesn't act as a barrier to safety or intimacy.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
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Pillar 2: CLARITY (Calm Your Mind)
Please rate your level of agreement with the following statements from 1 (Strongly Disagree) to 5 (Strongly Agree).
Emotional: I can identify and regulate my own "triggers" in real-time before they turn into reactive arguments or withdrawal.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Psychological: I lead my life from a place of "enoughness," ensuring my self-worth isn't dependent on someone else's constant validation.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Intellectual: I prioritize curiosity over "being right," allowing me to seek understanding when others have a different perspective.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Occupational: I have established firm boundaries that prevent my career stress from leaking into my relational "rest" time.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Creative: I have a personal outlet for joy and self-expression that keeps me from relying solely on others for happiness.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
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Pillar 3: CONNECTION (Open Your Heart)
Please rate your level of agreement with the following statements from 1 (Strongly Disagree) to 5 (Strongly Agree).
Relational: I navigate conflict by clearly communicating my needs without resorting to attacking, blaming, or shutting down.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Cultural: I understand how my background influences my "relational blueprint" and how I show up for others today.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Social: I have a supportive community outside of my closest relationship that allows my social needs to be met holistically.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Sexual: I feel safe and empowered to prioritize my desires and emotional safety, viewing intimacy as a healthy part of my life.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Spiritual: My daily actions and relationship choices are aligned with a deeper sense of purpose and core values.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Vitality
Clarity
Connection
Max
Min
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Measuring State & Strategy
Please select the option that matches your experience most of the time.
When a disagreement starts with someone I care about, my body typically:
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Feels "hot," my heart races, and I feel an urgent need to fix it or win right now.
Feels "heavy" or "cold," I go quiet, and I find it hard to find my words.
Stays relatively calm; I can feel my heart rate go up, but I can still listen and breathe.
Mix of These/ It Depends
After a stressful event or a "triggering" conversation, how long does it take for you to feel truly "back to normal" and relaxed?
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Hours or even days; I "ruminate" and replay the event constantly.
I don't "recover"; I just shut it out and move on to the next task immediately.
Usually 20–30 minutes; I can "shake it off" and re-engage with my day.
Mix of These/ It Depends
When my partner or a close friend asks for more emotional "closeness" or depth, my gut reaction is:
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Relief—I’ve been waiting for them to move toward me.
Pressure—I feel like I’m being suffocated or "hunted" for an answer.
Curiosity—I feel ready to explore what they need.
Mix of These/ It Depends
When I feel overwhelmed by life, I tend to:
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Push harder and "do more" until I collapse.
Withdraw into my phone, a book, or a screen to "numb out."
Reach out to a trusted person for support or co-regulation.
Mix of These/ It Depends
To feel "safe" in my world, I rely most on:
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Having a plan, a schedule, and everything in its place.
Making sure everyone else around me is happy and calm.
My internal sense of worth, regardless of what's happening outside.
Mix of These/ It Depends
Which best describes your current season of life?
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Healing or starting over after a major loss or transition
Stabilizing and building my foundation
Already doing well and ready to go deeper
Other
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I am a
{gender}
,
{relationshipStatus}
, birthday of
{birthdate}
and have a main goal to
{mainLife}
.
{whichBest}
When in a disagreement, my body feels
{whenA}
To cool down, it takes me
{afterA}
When asked for connection, I feel
{whenMy}
When I'm overwhelmed, I
{whenI}
To feel safe, I rely on
{toFeel}
Check all that apply:
*
I understand this quiz is for education and reflection, not a medical or mental health assessment, and I agree to receive my results by email.
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