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Understanding your stress

Today's date

How would you rate your sleep quality over the past two weeks?

How would you rate your sleep quality over the past two weeks?
Very poorCouldn't be better!

Compared to where you were three months ago, how would you rate your sleep now?

Compared to where you were three months ago, how would you rate your sleep now?
A
B
C

Looking ahead to the next three months, what would you like to see happen with your sleep?

Looking ahead to the next three months, what would you like to see happen with your sleep?
A
B
C
D

Do you feel you have enough energy to get through most days?

Do you feel you have enough energy to get through most days?
Almost neverAlmost always

Compared to three months ago, how would you rate this sense of energy?

Compared to three months ago, how would you rate this sense of energy?
A
B
C

Looking ahead to the next three months, what would you like to see happen with your energy?

Looking ahead to the next three months, what would you like to see happen with your energy?
A
B
C
D

How motivated have you felt for work, study or other responsibilities over the past two weeks?

How motivated have you felt for work, study or other responsibilities over the past two weeks?
Flat as a pancakeVery motivated

Compared to three months ago, how is your motivation for work, study or other responsibilities now?

Compared to three months ago, how is your motivation for work, study or other responsibilities now?
A
B
C

Looking ahead three months, what do you hope for in terms of motivation?

Looking ahead three months, what do you hope for in terms of motivation?
A
B
C
D

When you spend time on personal pursuits or hobbies, how engaged do you feel?

When you spend time on personal pursuits or hobbies, how engaged do you feel?
Zero engagementVery engaged

Compared to three months ago, how is your engagement in personal pursuits or hobbies now?

Compared to three months ago, how is your engagement in personal pursuits or hobbies now?
A
B
C

In the next three months, what would you like to see happen with your ability to be present or engaged?

In the next three months, what would you like to see happen with your ability to be present or engaged?
A
B
C
D

How connected do you feel with friends, family, or community right now?

How connected do you feel with friends, family, or community right now?
Quite disconnectedVery connected

Compared to three months ago, how would you rate your sense of connection now?

Compared to three months ago, how would you rate your sense of connection now?
A
B
C

In the next three months, what would you like to see happen with your sense of connection?

In the next three months, what would you like to see happen with your sense of connection?
A
B
C
D

Are there major challenges or stressors in your life right now?

Are there major challenges or stressors in your life right now?
A
B

How strongly are these challenges affecting you?

How strongly are these challenges affecting you?
Not at allSignificantly

If you would like to, briefly describe what these challenges are.

What in your life right now feels fun, energising, or simply going well?

If you had to rate your overall sense of vitality right now, where would you place yourself?

If you had to rate your overall sense of vitality right now, where would you place yourself?
Totally flat batteryFeeling full of vitality

Compared to three months ago, how is your overall sense of vitality now?

Compared to three months ago, how is your overall sense of vitality now?
A
B
C

In the next three months, what would you like to see happen with your vitality?

In the next three months, what would you like to see happen with your vitality?
A
B
C
D

Please copy your answers and paste them into your own document BEFORE you hit submit.

This is your information, you can keep it for your own reflection, or use it as a reference with your GP, counsellor, or other support people.

If you would like to explore your answers with me, you are welcome to share them and book a dedicated 30-minute debrief session. It is a chance to work through what you're experiencing, clarify what you'd most like to work on, and set up next steps.

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