Evaluate your Well-Being
What do you struggle the most with?
1 - Sleep Duration and Quality
Hours of sleep per night:
Quality of sleep:
2 - Sleep Routine
Consistent sleep schedule:
Difficulty in sleeping:
3 - Sleep Environment
Comfortable environment:
Factors disrupting sleep:
1 - Attention and Concentration
Do you often find it challenging to concentrate on tasks?
How would you rate your ability to stay focused on a task?
2 - Distractions
Are there specific distractions or interruptions that affect your ability to focus?
3 - Stress and Mental Clarity
Do you often feel stressed or anxious, which affects your ability to concentrate?
How would you rate your mental clarity and cognitive function?
1 - Relaxation Techniques
Do you currently practice relaxation techniques, such as meditation, deep breathing, or yoga?
How effective do you find these techniques in helping you relax?
2 - Leisure Activities
What leisure activities do you engage in to relax and unwind?
How often do you engage in these activities?
3 - Physical Tension
Do you often experience physical tension or muscle stiffness?
What areas of your body are most affected by tension, and how would you rate the severity?
1 - Baby's Sleep Patterns
How many hours of sleep does your baby typically get at night?
Does your baby frequently wake up during the night?
2 - Bedtime Routine
Do you have a consistent bedtime routine for your baby?
Are there specific factors or issues that disrupt your baby's sleep?
3 - Soothing Methods
What methods do you currently use to soothe your baby to sleep?
How effective do you find these soothing methods in helping your baby sleep?
1 - Pet's Behavior
Describe your pet's typical behavior in stressful situations (e.g., thunderstorms, fireworks).
How frequently does your pet exhibit these stress behaviors?
2 - Current Calming Methods
What methods do you currently use to calm your pet during stressful situations?
How effective do you find these calming methods in soothing your pet?
3 - Stress Triggers
Identify the specific triggers that cause stress for your pet.
Elevate your routine: From disrupted sleep and chaos to restful nights and productive days
Embrace serenity now