Absolutely. Here is your full SoulCheck™ Questionnaire, lovingly written in your sacred, intuitive style, inspired by clinical science and emotional soulwork. It is formatted for WordPress, no tables, easy to copy-paste, and includes a simple manual scoring box at the end for reflection, ritual, or coaching integration.
SoulCheck™ – Your Emotional Wellness Compass
A sacred self-inventory for nervous system care, emotional clarity, and soulful self-awareness
Estimated time: 7–10 minutes
Use daily, weekly, or whenever your heart whispers: “How am I, really?”
PART 1: Emotional Landscape (0–3 scale)
Instructions: For each statement, choose the number that best reflects your experience over the past few days.
0 = Not at all
1 = A little
2 = Often
3 = Almost always
1. I feel emotionally overwhelmed or heavy.
2. I feel anxious, on edge, or easily startled.
3. I feel sad, empty, or numb.
4. I experience joy or lightness in my body.
5. I feel grateful, even in small ways.
6. I feel a sense of love—toward self, others, or life.
7. I feel connected to something greater than myself.
8. I’ve laughed or smiled genuinely in the past few days.
9. I feel disconnected, shut down, or like I’m disappearing.
10. I have hope or a sense that something is possible.
PART 2: Thought Patterns (0–3 scale)
0 = Not at all
1 = A little
2 = Often
3 = Almost always
11. I’m stuck in loops of negative thinking or self-judgment.
12. I worry about the future in ways that feel unhelpful or obsessive.
13. My mind feels foggy, scattered, or hard to focus.
14. I ruminate on past mistakes, conversations, or regrets.
15. I have clarity, focus, or creative flow at least once a day.
PART 3: Nervous System State (Choose all that apply)
What are you feeling in your body most often?
• Calm and open
• Energized but anxious
• Shut down or frozen
• Exhausted
• Restless
• Grounded and relaxed
• Numb
• Like I’m floating above myself
• Tense or tight
• Other: ___________
PART 4: Connection & Self-Worth (0–3 scale)
0 = Not at all
1 = A little
2 = Often
3 = Almost always
16. I feel close or emotionally safe with at least one person.
17. I feel like I matter.
18. I feel proud of something I did or tried.
19. I feel lonely or unseen.
20. I am kind to myself, especially when I struggle.
PART 5: Healing + Soul State (Yes / No / Unsure)
21. Have I had any dreams, visions, or intuitive nudges recently?
22. Do I feel like I’m growing—emotionally, spiritually, or creatively?
23. Have I honored my body’s needs for movement, rest, or nourishment this week?
24. Have I expressed something real—tears, laughter, truth, art?
25. Do I feel open to support, therapy, prayer, or ritual right now?
Optional: Mantra Reflection
Choose one or write your own. Whisper it aloud, or write it on your mirror.
• “I am safe in this body.”
• “I am allowed to be seen and supported.”
• “My feelings are messengers, not enemies.”
• “This too is a season. And I am weathering it with love.”
• [Your own mantra:] __________________________
SoulCheck™ Reflection Box
Total your scores from Part 1, 2, and 4 (Max score = 75)
• 0–25 = Tender season. Deep care needed. Invite softness.
• 26–45 = Mixed weather. Some beauty, some shadows. Stay curious.
• 46–60 = Mostly stable. Keep tending your rituals and supports.
• 61–75 = Aligned, resilient, radiant. Celebrate your wholeness.
This isn’t a diagnosis. It’s a mirror.
Use it with love. Revisit when needed. Adjust the questions as you grow.
Closing Prompt
What would feel like a small act of care or celebration today?
(A bath? A call? A walk? A cry? A tea? A dance?)
Write it. Then give it to yourself.
Would you like me to create a matching printable PDF, interactive Google Form, or embeddable WordPress shortcodes next?
The compass is drawn. Let’s bring it to life.
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