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Self-Care Check-In

Journal style questions to help you reflect, refocus, and reconnect with yourself.

There’s no rush and no right answers — just space to notice what’s true for you right now.

Start

Question 1 of 11

🌸 1.) Which phase(s) of motherhood are you currently in?

(Select all that apply)
A

Newborn (0-12 months)

B

Toddler (1-4 year)

C

School Ager (Age 5-12)

D

Teens/Young Adults

E

Empty Nester

Question 2 of 11

2.) How many kids do you have?

A

1

B

2

C

3

D

4

Question 3 of 11

How would you describe your current season of life?

A

Overwhelmed

B

Managing

C

Finding My Rhythm

D

Thriving

E

Other

Question 4 of 11

How often do you carve out time just for you?

A

Hardly Ever -it feels impossible right now

B

Sometimes- I try but it doesn't always stick

C

Often - I protect my time most weeks

D

Always - it's a non-negotiable for me

Question 5 of 11

How would you describe your current experience with self-care?

A

It's on my to-do list

B

A luxury I don't always have

C

Curious to learn/improve

D

Rebuilding a foundation

E

Balanced

Question 6 of 11

Which area feels most off balance lately?

A

Sleep

B

Nutrition

C

Mindset

D

Hygiene

E

Movement

F

Connection

G

Technology usage

Question 7 of 11

If you had an extra hour each week, what would you most want help with?

A

Structure & systems

B

Motivation or Mindset

C

Habits or tools to stay consistent

D

Creating a self-care plan I can follow

E

Fostering a supportive environment

Question 8 of 11

🌧️ 7.) When you try to take time for yourself, what tends to get in the way?

A

Finding Time

B

Feeling Guilty

C

Being Consistent

D

Overwhelmed

E

Lack of support

F

Prioritizing Myself

G

Other

Question 9 of 11

When it comes to making small changes for yourself, what feels true right now?

A

I'm ready to start

B

I'm thinking about it

C

I'm not sure where to begin

Question 10 of 11

What's one small change you'd love to see in your daily life?

Question 11 of 11

When you think about your next step, what kind of support sounds most helpful?

A

Structure + Accountability

B

Self-paced guidance

C

Simple tools I can use anytime

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