CHECK YOUR SELF

IT'S TIME TO CHECK IN WITH YOURSELF

Take a moment to check in with yourself.
This isn’t a diagnosis — just a way to pause and notice what your body, mind, and spirit are trying to tell you.


Are You Feeling “Off”?
Let’s pause and check in. No pressure, just honesty.
1.Have you felt off, heavy, or down most days lately — even if you’re not sure why?
2.Have the things that usually bring you peace, joy, or meaning just... not been doing it for you?
3.Feeling exhausted or like no matter how much you rest, it’s never enough?
Is Stress Taking Over?
Sometimes stress builds up quietly. Let’s see where you’re at.
4.Do you feel on edge — like you can’t fully relax or breathe easy?
5.Are your thoughts racing, jumping from one worry to another?
6.Have you been super restless — or the opposite, barely moving at all?
7.Been snapping on people or shutting down without meaning to?
Are You Hiding Your Feelings?
You're allowed to not be okay. You don’t have to hide here.
8.Do you keep things to yourself because you don’t think anyone would understand?
9.Do you smile on the outside, but feel invisible, alone, or numb inside?
10.Have you caught yourself saying 'I’m good'... when you’re really not?
Is Your Body Speaking Up?
Your body is wise — let’s listen in.
11.Have your eating habits changed a lot — like eating way more or way less?(Required.)
12.Have you been using food, sleep, scrolling, or alcohol or weed to escape?(Required.)
13.Are you feeling achy, tense, or off — and not sure why?(Required.)
Are You in a Dark Space?
If you’re here, I’m proud of you. These are the hardest questions — and the most important.
14.Have you had thoughts about disappearing, giving up, or hurting yourself?(Required.)
15.Have you ever felt like it wouldn’t matter if you stopped showing up?(Required.)
16.What zip code do you live in?
Optional
17.Did this self-check help you notice anything about your mental health?
18.
On a scale of 0 to 10,
How likely is it that you would recommend the "Check Your Self" tool to a friend or family member?
0 for Not at all likely, 10 for Extremely likely
Not at all likelyExtremely likely
19.Want support or resources sent your way?
Let us know how you'd like to receive info by entering your contact info below.
20.Select the identities or lived experiences that apply to you:
Check all that apply. Your responses help us better understand how identity and lived experience relate to wellness.
21.Raffle Ticket # (Event Attendees Only – Optional) Only enter this if you received a physical raffle ticket at the event. If you’re completing this survey remotely, you can leave this blank.
Current Progress,
0 of 21 answered