Page 1 of 3
The Missing Pieces Breakthrough Audit
Answer these quick questions to uncover the emotional load, identity patterns, and hidden stressors draining your clarity, confidence, and energy.
Name
*
Email
*
How often do you feel emotionally exhausted, even after resting?
*
How often do you feel emotionally exhausted, even after resting?
A
Rarely
B
Sometimes
C
Often
D
Almost always
When you feel overwhelmed, what do you usually do?
*
When you feel overwhelmed, what do you usually do?
A
Push through and ignore it
B
Shut down or withdraw
C
Try to fix everything
D
Ask for help
Which feels most true right now?
*
Which feels most true right now?
A
“I feel invisible.”
B
“I feel resentful.”
C
“I feel numb.”
D
“I feel mostly okay.”
Whose emotions do you carry the most?
*
Whose emotions do you carry the most?
A
My partner
B
My kids
C
My parents/family
D
Everyone
E
Mostly my own
How often do you abandon your own needs?
*
How often do you abandon your own needs?
A
Rarely
B
Sometimes
C
Often
D
Constantly
What scares you most about slowing down?
*
What scares you most about slowing down?
A
I won’t be useful
B
Everything will fall apart
C
I’ll have to feel things I’ve avoided
D
Nothing — I’m comfortable slowing down
How connected do you feel to yourself?
*
How connected do you feel to yourself?
A
Very connected
B
Somewhat connected
C
Disconnected
D
Completely disconnected
How often do you feel like you’re “losing yourself”?
*
How often do you feel like you’re “losing yourself”?
A
Never
B
Occasionally
C
Often
D
Constantly
How much emotional responsibility do you carry for others?
*
How much emotional responsibility do you carry for others?
A
Very little
B
Some
C
A lot
D
Almost all of it
How often do you feel like you’re “on edge”?
*
How often do you feel like you’re “on edge”?
A
Rarely
B
Sometimes
C
Often
D
Almost always
Show My Results