Did you sleep well this week?

• Yes, sleeping really well

• I sleep hasn't changed

• No! sleeping really badly

Did you notice you sleep more or less than usually?

• Sleeping more

• No more than normal

• Sleeping less

Are you refreshed in the morning or do you still feel sluggish?

• I feel full of energy

• I feel normal

• I feel sluggish

Are you eating healthy?

• Yes, more healthy

• No more than normal

• No, unhealthy

Did you notice you eat more or less than usually?

• Yes

• No more than normal

• No

Do you have increased cravings for comfort food or sweets?

• Yes

• No more than normal

• No

Are you experiencing an uneasy/unwell stomach?

• Yes

• No

Are you experiencing headaches?

• Yes

• No

Do you feel your shoulders and neck are tense and ache?

• Yes

• No

Do you feel out of energy?

• Yes

• No