A Self-Check for Busy, Driven Women
Scoring:
0 = Never 1 = Sometimes 2 = Often 3 = Always
Write your number on the line before each statement.
SECTION 1: BODY SIGNALS (Are you listening?)
_____ I ignore physical symptoms (fatigue, headaches, chest tightness, dizziness)
_____ I push through pain or discomfort to “get things done”
_____ I feel exhausted even after a full night’s sleep
_____ I’ve had moments of anxiety, rapid heartbeat, or shortness of breath
_____ I tell myself, “It’s probably nothing,” when something feels off
Section Total: _____
🍽️ SECTION 2: FUEL & ENERGY (Are you running on empty?)
_____ I skip meals or eat at random times
_____ I rely heavily on caffeine or sugar to get through the day
_____ I rarely drink enough water
_____ I crash mid-day or feel shaky/irritable
_____ I eat quickly, distracted, or on the go most of the time
Section Total: _____
⏱️ SECTION 3: SCHEDULE & MARGIN (Are you overloaded?)
_____ My schedule is packed with little to no downtime
_____ I feel guilty when I rest or take a break
_____ I say “yes” when I really want or need to say “no”
_____ I don’t have a consistent start or stop time for my day
_____ I feel like I’m always behind, no matter how much I do
Section Total: _____
💔 SECTION 4: EMOTIONAL & MENTAL LOAD (Are you carrying too much?)
_____ I feel overwhelmed by responsibilities
_____ I have racing thoughts or trouble “shutting off” my mind
_____ I carry stress for other people’s problems
_____ I feel like everything depends on me
_____ I rarely take time to process my emotions
Section Total: _____
🏡 SECTION 5: PRESENCE & BALANCE (Are you actually living?)
_____ I’m physically present but mentally working or distracted
_____ I check my phone or emails constantly—even during family time
_____ I rarely do things just for fun or rest
_____ I struggle to fully relax without feeling guilty
_____ I feel disconnected from the people I care about
Section Total: _____
🧮 FINAL SCORE
TOTAL: _____
🚦 RESULTS
0–15 → Healthy Zone ✅
You’re doing well—protect these habits.
16–30 → Warning Zone ⚠️
Time to make small, intentional changes.
31–45 → Burnout Zone 🔥
You’re pushing too hard—your body is feeling it.
46–75 → Danger Zone 🚑
This is where health crashes happen. It’s time to pause and reset.
✍️ REFLECTION
What area scored the highest?
What signal has your body been giving you?
What is ONE change you will make today?