Personal Emotional Check-In

1

Before you keep going… pause for a moment.

This is a private check-in. No pressure. No judgment.

Just answer honestly.

You might notice something your mind hasn’t had time to say out loud yet.

Take a breath… and begin.

3

Where do you feel stress in your body?* This field is required.Check All That Apply

Chest

Stomach

Shoulders

Head

My whole body feels heavy

I don’t feel anything

4

How much do you feel like you can handle today?* This field is required.

I can handle a lot

I can handle some

I’m close to my limit

I’m just trying to get through the day

5

Do you feel supported right now?* This field is required.Select one option

Yes

A little

Not really

Not at all

6

If you could say one honest sentence about how you're doing, what would it be?* This field is required.

7

Email* This field is required.

example@example.com