The Unbridled Collective Your Baseline

Where you are, right now.

There are no right answers here — only honest ones. This is a gentle snapshot of where you're beginning. We'll revisit these same questions at 30, 60, and 90 days, so you can feel — and see — how far you've come.

First, the basics

Who & when

Use the same survey each time so we can track your journey.
Your name
Email
Today's date
Your capacity & nervous system

Coming back to calm

How resourced do you feel to meet your life today?
5
Running on emptyFull & resourced
Out of 10 tries, how many times do you succeed?
5
0 of 1010 of 10
Presence

How present do you feel?

5
On autopilotFully here
5
Distracted & reactiveGrounded & connected
Sleep & rest

Your nights & mornings

5
Very hardVery easy
5
ExhaustedRested & ready
How you're feeling

How are you feeling?

Select any that fit — there's no wrong answer.
5
NeverEvery day
5
Not at allDeeply happy
5
NeverConstantly
5
NeverConstantly
This is about noticing it as it happens.
5
Never noticeAlways notice
5
Harsh & criticalKind & loving
Your vision

What you most want

What do you most hope to receive from this mentorship?

Thank you for your honesty. This is where coming home begins.