IMappedMyLife | Questionnaire

Questionnaire

First Name

Last Name

What do you want to understand better about your life right now?

My mood and mental health (stress, tiredness, feeling low or burnt out)

The work I do that no one sees (taking care of family, managing the house, small everyday tasks)

My health and body changes (getting tired easily, weight gain, irregular periods, hormone changes)

My relationships and boundaries (feeling unsupported, doing more emotional work than others)

My money habits (how I spend, save, or worry about money)

I’m not sure yet, but I want to learn more about myself

Which of these feel true for you?

I think I may be going through perimenopause or menopause

Doctors or others have not taken my health concerns seriously

I do most of the thinking, planning, and caring in my home

I take care of others a lot — children, parents, or both

I feel like big decisions at home fall mostly on me

I just want to feel more balanced and less alone

If you’re a man or male partner — how do you feel about care, relationships, and fairness at home? (If this applies to you)

I want to support better, but I’m not always sure how

I don’t always catch emotional signals and want to improve

I also carry work or stress that’s hard to explain

I would like a tool to help me understand and grow, without feeling judged

I’m here to learn and show up for the people I care about

If you’re non-binary, queer, or don’t identify in usual gender boxes — is there anything we should remember while building this?

What would you like iMappedMyLife to help you with the most? (Choose up to two)

Is there anything else you’d like to tell us or hope this tool will help with?