The "After Action" Audit
Complete this assessment to evaluate your mental, emotional, physical, and behavioral health over the past month.
Mental & Emotional State
Name
*
First Name
Last Name
Email
*
example@example.com
1. I feel mentally clear and focused throughout the day.
*
Never
0
1
Often
2
0 is Never, 2 is Often
2. I feel emotionally stable and in control.
*
Never
0
1
Often
2
0 is Never, 2 is Often
3. I experience anxiety or constant tension.
*
Never
0
1
Often
2
0 is Never, 2 is Often
4. I feel overwhelmed by life or work.
*
Never
0
1
Often
2
0 is Never, 2 is Often
5. I feel emotionally numb or disconnected.
*
Never
0
1
Often
2
0 is Never, 2 is Often
6. My mood is unpredictable or reactive.
*
Never
0
1
Often
2
0 is Never, 2 is Often
7. I feel at peace internally.
*
Never
0
1
Often
2
0 is Never, 2 is Often
8. I carry stress even when off shift.
*
Never
0
1
Often
2
0 is Never, 2 is Often
9. I feel mentally exhausted.
*
Never
0
1
Often
2
0 is Never, 2 is Often
10. I feel like I’m “just getting through” each day.
*
Never
0
1
Often
2
0 is Never, 2 is Often
Stress, Trauma & Triggers
11. I replay difficult calls or incidents in my mind.
*
Never
0
1
Often
2
0 is Never, 2 is Often
12. I experience intrusive thoughts or flashbacks.
*
Never
0
1
Often
2
0 is Never, 2 is Often
13. Certain triggers (sounds, smells, environments) affect me.
*
Never
0
1
Often
2
0 is Never, 2 is Often
14. I avoid situations that remind me of work.
*
Never
0
1
Often
2
0 is Never, 2 is Often
15. I feel constantly “on edge” or hyper-alert.
*
Never
0
1
Often
2
0 is Never, 2 is Often
16. I experience nightmares or disrupted sleep from stress.
*
Never
0
1
Often
2
0 is Never, 2 is Often
17. I feel my job has changed me negatively.
*
Never
0
1
Often
2
0 is Never, 2 is Often
18. I feel emotionally hardened or shut down.
*
Never
0
1
Often
2
0 is Never, 2 is Often
19. I carry guilt, anger, or shame from the job.
*
Never
0
1
Often
2
0 is Never, 2 is Often
20. I feel like I’ve lost who I used to be.
*
Never
0
1
Often
2
0 is Never, 2 is Often
Physical & Performance State
21. My energy levels are consistent and strong.
*
0
1
2
22. I feel physically drained most days.
*
0
1
2
23. My sleep is restful and consistent.
*
0
1
2
24. I struggle to fall or stay asleep.
*
0
1
2
25. I maintain a consistent exercise routine.
*
0
1
2
26. My nutrition supports my performance.
*
0
1
2
27. I rely on caffeine or stimulants to function.
*
0
1
2
28. My body feels tense, tight, or fatigued.
*
0
1
2
29. I feel physically capable and resilient.
*
0
1
2
30. I feel burnt out physically.
*
0
1
2
Behavioural Patterns
31. I use alcohol or substances to cope.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
32. I isolate myself from others.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
33. I overwork to avoid dealing with things.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
34. I numb out (phone, TV, distractions).
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
35. I follow through on commitments to myself.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
36. I struggle with discipline and consistency.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
37. I avoid things I know I need to face.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
38. I have a structured routine outside of work.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
39. I feel in control of my habits.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
40. I feel stuck in negative cycles.
*
Not at all
0
1
Often
2
0 is Not at all, 2 is Often
Relationships, Purpose & Control
41. I feel connected to people in my life.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
42. I withdraw from loved ones.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
43. I feel understood by others.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
44. My relationships are being affected by my stress.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
45. I feel emotionally available to others.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
46. I have a clear sense of purpose outside of work.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
47. I feel in control of my life direction.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
48. I feel like I’m just surviving, not living.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
49. I feel proud of who I am right now.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
50. I believe I can take back control of my life.
*
Not at all
0
1
A lot
2
0 is Not at all, 2 is A lot
Submit
Should be Empty: