Luxurae Self-Care Quiz

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Let's get into it! How often do you schedule time for yourself to relax or do something you enjoy?* This field is required.

Daily

Weekly

Monthly

It's bad sis, real bad.

4

How would you describe your current approach to self-care?* This field is required.

Prioritizing – I'm a priority and I stand on that

Balancing – I have a decent balance of self-care with other responsibilities

Minimal – When I feel overwhelmed, but it's not consistent

Neglected – I rarely prioritize self-care and confuse it with self-maintenance

5

How often do you check in with yourself and regulate your emotional well-being?* This field is required.

Daily: I make time for self-reflection every day

Occasionally: I check in with myself when I feel stressed

Rarely: I don’t often take time to check in with how I feel

Never: I'm a little numb at this point

6

A major part of self-care is having a supportive community who gets you. Do you have a solid social circle or community?* This field is required.

My community rides at dawn

My community is there when I ask them to be

My community is a work-in-progress

What community?

7

How easily do you get overstimulated or overwhelmed by your environment?* This field is required.

Very Easily: I often feel overwhelmed by noise, crowds, or activity

Occasionally: In busy environments, but it’s manageable

Rarely: I’m usually able to stay calm even in chaotic settings

Never: I’m comfortable in almost any environment without feeling overwhelmed

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Do you feel like your thoughts are often cluttered or overwhelming?* This field is required.

Not at all

Every now and then

It seems to be increasingly so

All the time, send help!

9

How quickly do you recover from stressful situations?* This field is required.

Sha'Carri Richardson fast

I'll be regulated by the EOD

Give me a few days

It takes far too long

10

How often do you say 'yes' to obligations that conflict with your personal time?* This field is required.

I don't and I won't

I do when it's for those I love

I'm just learning to say "no"

I must admit, I have no boundaries

11

Do you have a good balance between work, responsibilities, and personal time?* This field is required.

Balanced like Simone Biles on a beam

My balance is decent

The lines are getting blurred

I don't know what balance is

12

When was the last time you took a full day off for yourself?* This field is required.

This week

This month

3-6 months ago

6+ months ago

13

How many hours of screen time do you average daily? (e.g. phone, TV, computer, etc.)* This field is required.

9+ hours

5-8 hours

2-4 hours

1 hour or less

14

How often do you engage in physical activity or movement?

Daily

2-3 times weekly

Every other week or so

Please tell me waking up counts

15

How often do you eat whole, nourishing foods? (e.g., fruits, vegetables, proteins)* This field is required.

Daily

Weekly

Monthly

We listen and we don't judge

16

How much water or fresh-pressed juice do you drink daily?* This field is required.

8+ cups

4-7 cups

2-4 cups

Again, we listen and we don't judge

17

How often do you eat fast food/high processed foods?* This field is required.

Daily

A few times per week

A few times per month

Rarely

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Total Quiz Calculation