Self-Assessment: Personal Energy Audit Self-Assessment: Personal Energy Audit Your Full Name * Your Email Address * Date of Assessment * Overall, how would you rate your current emotional energy levels? * 1 2 3 4 5 Please select the statement that best describes your emotional state. * I feel consistently calm and content.I experience occasional ups and downs, but generally feel balanced.I often feel stressed, anxious, or overwhelmed.I am frequently experiencing intense emotional fluctuations.I am currently struggling with significant emotional challenges. On a scale of 1 to 5, how well are you managing stress? * 1 2 3 4 5 How often do you feel motivated and enthusiastic about your daily activities? * Always Often Sometimes Rarely Never Overall, how would you rate your current mental energy levels? * 1 2 3 4 5 How focused and attentive do you feel throughout the day? * Highly focused Generally focused Sometimes focused Frequently distracted Constantly distracted How would you rate your ability to concentrate? * 1 2 3 4 5 Do you feel mentally sharp and clear-headed? * Yes, consistently Yes, most of the time Sometimes Rarely No, not at all Overall, how would you rate your current behavioral energy levels? * 1 2 3 4 5 How would you describe your ability to take action and get things done? * I am highly productive and achieve my goals effectively.I am generally productive and make steady progress.I sometimes struggle with procrastination and productivity.I often find it difficult to start or complete tasks.I am consistently unproductive. On a scale of 1 to 5, how well do you adhere to your daily/weekly goals? * 1 2 3 4 5 Are you experiencing any physical fatigue or exhaustion? * No, I feel energetic and revitalized Sometimes, but it doesn’t affect my daily life Yes, I often feel tired Yes, I am frequently exhausted Yes, I am suffering from burnout. Quantity Submit If you are human, leave this field blank.