Wellness Check Name * First Name Last Name Welcome back! How are you feeling today? * Choose an emoji based on mood. * 😊 😞 🫣 😡 😌 😣 Energy levels * (1 is low, 5 is high) 1 2 3 4 5 Focus levels * (1 is low, 5 is high) 1 2 3 4 5 Confidence levels * (1 is low, 5 is high) 1 2 3 4 5 Thank you!