Full Name *

Email *

For the most accurate results, answer based on how you typically feel and behave, not how you think you should respond. Go with your first, honest response or instinct (don't overthink). Don't answer based on your "best days" - consider your default state over the past 3-6 months.

When you finally take time off, how quickly does guilt or restlessness set in? *

Never

Rarely

Sometimes

Often

Almost Always

How often do you feel like you're only as good as your last accomplishment?

Never

Rarely

Sometimes

Often

Almost Always

How often do you mentally rehearse conversations or scenarios before they happen?

Never

Rarely

Sometimes

Often

Almost Always

When plans change unexpectedly, do you have an intense internal reaction, even if you hide it?

Never

Rarely

Sometimes

Often

Almost Always

Do you find yourself scanning rooms, emails, or situations for potential problems or threats?

Never

Rarely

Sometimes

Often

Almost Always

How often do you feel responsible for anticipating what could go wrong?

Never

Rarely

Sometimes

Often

Almost Always

How often do you say "yes" to things you want to say "no" to, just to keep the peace?

Never

Rarely

Sometimes

Often

Almost Always

Do you absorb other people's stress or emotions, even when you try not to?

Never

Rarely

Sometimes

Often

Almost Always

How often do you answer "I'm fine" when you're actually not?

Never

Rarely

Sometimes

Often

Almost Always

Do you push through exhaustion or discomfort without acknowledging it, even to yourself?

Never

Rarely

Sometimes

Often

Almost Always

How often does everything feel like "too much" - even things that used to feel manageable?

Never

Rarely

Sometimes

Often

Almost Always

Do you experience fatigue or brain fog that doesn't improve no matter how much you rest?

Never

Rarely

Sometimes

Often

Almost Always

How much is stress affecting your sleep quality on a typical night?

Never

Rarely

Sometimes

Often

Almost Always

How often does stress affect how you show up with the people who matter most?

Never

Rarely

Sometimes

Often

Almost Always

How many hours per week would you estimate you're operating below your potential due to stress?

Less than 2 hours

2-5 hours

5-10 hours

10-20 hours

20+ hours