Your First Step Toward Relief

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Your First Step Toward Relief

A short, gentle check-in to help you better understand where you are—and where we can begin.

This short questionnaire is designed to help you take a breath, check in with yourself, and explore what kind of support might feel best right now. There's no right or wrong answer—only what feels true for you today.

Let's begin...

Email *

Your first name:

How does anxiety most often show up for you?

Racing thoughts or overthinking

Tightness in the chest or shallow breathing

Exhaustion, even after rest

Feeling disconnected or wanting to withdraw

An intense panic attack

All of the above

What do you most wish you could experience more of in your daily life?

A sense of calm and groundedness

More energy and lightness

Deeper connection with myself and others

The ability to relax

Better sleep

Trust in my ability to handle whatever comes

All of the above

When anxiety rises, what do you usually try first?

Try to control my thoughts or "talk myself down"

Distract myself with work, screens, or busyness

Withdraw or shut down until it passes

Blame myself for not handling it better

All of the above

I’m not sure—I usually just endure it

What is preventing you from caring for yourself?

I'm not sure what to do

I don't have any time

I don't have enough privacy

Other:

Clear selection

How much time do you feel you realistically have each day to care for yourself?

No time

Less than 5 minutes

5–10 minutes

10–20 minutes

20+ minutes (but I struggle to prioritize it)

I don't know—it feels overwhelming even to think about it

Clear selection

Which of these messages would feel most comforting to hear right now?

"You’re not broken. You’ve been doing your best."

"You’re allowed to put your own well-being first."

"Small steps are enough. Healing doesn’t have to be perfect."

"It’s ok to take time to soften and rest."

"You don’t have to do this alone."

Other:

What kind of support feels most helpful for you right now?

Short, daily guided practices I can do at home

A community space where I can connect with others who understand

A structured self-paced program to create real, lasting change

Educational resources I can explore at my own pace

I’m not sure yet—I just know I need something different

Other:

How would you like your healing journey to feel?

Gentle, nurturing, and non-pressured

Transformational; maybe a little intense

Motivating, clear, and goal-oriented

Slow and steady, with lots of room to breathe

Insightful and educational—I want to understand what’s happening inside me

A mix of structure and flexibility to fit my life

Other:

Clear selection

Which of these feels closest to what you’re looking for right now?

“I want to learn simple, foundational techniques to calm anxiety and fear—something practical I can start using right away.”

“I’m ready for a deeper, step-by-step program that helps me reset my relationship with anxiety from the inside out.”

"I'm looking for something that will give me a 'kick in the ass', shifting me out of this rut that I'm in."

“I’m not sure yet—I'm open to suggestions.”

Other:

How do you prefer to experience personal growth and healing?

“I prefer working independently, on my own schedule, with guidance I can follow at my pace.”

“I feel more supported when I’m part of a group or guided journey, even online.”

“A mix of both sounds ideal—I like some structure but also flexibility.”

Clear selection

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