Question 1 of 20

When you consider investing time and money in transformation, what's your biggest internal resistance?

"I don't deserve this investment in myself"

Deep unworthiness beliefs create guilt around prioritizing your transformation

"I can't take time away - too many people depend on me"

Poor boundaries keep you trapped in endless giving without receiving

"What if I spend all this money and nothing really changes?"

Past disappointments and fear of failure create hesitation

"I'm ready to invest in sustainable transformation"

You recognize the value of comprehensive change over quick fixes

Question 2 of 20

When you're stressed, overwhelmed, or just need to "switch off," what do you typically reach for?

Wine, alcohol, or substances to numb the pressure

You use alcohol or other substances to escape difficult feelings

Food, sweets, chocolate, or comfort eating

You use food as emotional regulation or reward

Shopping, social media scrolling, or TV binging

You seek distraction through consumption or entertainment

Healthy activities like exercise, nature, or genuine rest

You have constructive ways to manage stress and emotions

Question 3 of 20

Thinking about your childhood, which best describes the overall emotional tone of your family environment?

Chaotic, stressful, or traumatic

High conflict, unpredictability, or significant trauma shaped your early years

Emotionally distant or confusing

Love felt conditional, emotions weren't discussed, or mixed messages were common

Generally stable but with some challenges

Mostly secure with some difficult periods or unresolved family dynamics

Happy, secure, and emotionally supportive

You felt loved, safe, and supported to express yourself authentically

Question 4 of 20

Which stress responses do you recognize in yourself? (Select all that apply)

Physical symptoms (headaches, tension, stomach issues)

Your body manifests stress through physical discomfort

Emotional overwhelm (anxiety, irritability, mood swings)

Stress affects your emotional regulation and stability

Mental fog (difficulty concentrating, forgetfulness)

Cognitive function becomes impaired under pressure

Behavioral changes (isolation, procrastination, addictive habits)

You cope through avoidance or compulsive behaviors

Question 6 of 20

What triggers tend to derail your best intentions? (Select all that apply)

Relationship conflict or criticism

Tension with loved ones sends you into reactive patterns

Work pressure or deadlines

Professional stress triggers old coping mechanisms

Financial worry or scarcity fears

Money concerns activate survival mode responses

Feeling lonely or unsupported

Isolation triggers emotional eating or numbing behaviors

Overwhelm from too many commitments

Over-scheduling leads to reactive choices and self-abandonment

Question 7 of 20

What's your current relationship status, and how does it affect your self-care?

Single and struggling with loneliness or self-worth

Being alone triggers self-criticism or unhealthy coping mechanisms

In a relationship that drains my energy or creates stress

Your partnership adds to rather than supports your wellbeing

Parenting demands leave little time for myself

Children's needs consistently come before your own self-care

Single and content, or in a supportive relationship

Your relationship status supports rather than hinders your wellbeing

Question 8 of 20

Which areas of your health feel out of balance? (Select all that apply)

Digestive issues or food sensitivities

Gut health problems affecting daily comfort and energy

Sleep problems or chronic fatigue

Restorative rest eludes you despite being tired

Hormonal imbalances or mood swings

Chemical messengers feel chaotic and unpredictable

Mental health challenges (anxiety, depression)

Emotional wellbeing significantly impacts daily functioning

Chronic pain or inflammation

Physical discomfort affects quality of life and choices

Question 9 of 20

How do you typically respond when someone criticizes you or you make a mistake?

Spiral into shame and brutal self-attack

Criticism triggers an internal avalanche of self-judgment and pain

Replay it obsessively for days, unable to let go

Mental loops keep you trapped in negative thinking patterns

Feel bad initially but recover with some self-compassion

You have developing resilience and gentleness with yourself

Learn from it with kindness and move forward

You maintain perspective and treat yourself with compassion

Question 10 of 20

Which family dynamics or childhood patterns do you recognize in yourself? (Select all that apply)

People-pleasing or seeking approval

You learned love was conditional on being "good" or helpful

Fear of conflict or confrontation

Tension feels dangerous, so you avoid or minimize differences

Perfectionism or fear of making mistakes

Errors felt catastrophic, so you became hyper-vigilant about performance

Taking care of others' emotions

You became responsible for managing family members' feelings

Difficulty trusting your own needs and desires

Your inner voice was dismissed, so you doubt your own experience

You're Ready for Deep Change

Transformation Ready

You're experiencing significant stress and self-sabotaging patterns that willpower alone won't address. You need comprehensive mind-body transformation that tackles the 'thought bacteria' driving your challenges. This is your moment for breakthrough.

Your Conscious Cleanse Blueprint:

Address core limiting beliefs about self-worth and deservingness
Develop healthy stress management and boundary skills
Reprogram subconscious patterns around guilt and people-pleasing
Create new neural pathways for self-care and consistency
Work with energy psychology to shift deep-rooted beliefs

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The Conscious Detox Readiness Assessment

Your Conscious Cleanse Blueprint:

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Ready to Break Free from Autopilot?

Jen Pen