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Personalized Burnout Plan
Full name
*
Email
*
Section 1: About You
What's your profession/role?
*
How many hours do you typically work per week?
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On a scale from 1-10, how burned out do you feel right now?
*
Section 2 : Energy & stress
What time during the day do you feel the most drained?
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What's your biggest current stressor?
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Do you struggle more with physical or mental fatigue?
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A
Physical
B
Mental
C
Both
Section 3: Lifestyle inputs
How many hours of sleep do you get per night(on average)?
*
Do you exercise regularly?
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what does your typical breakfast/lunch look like?
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Do you consume caffeine? if yes, how much?
*
Section 4: Schedule & goals
How much time per day can you commit to recovery?
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what's your #1 goal with this plan?
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Final Step
Email us at
burnoutplan@gmail.com
for help.
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