top of page

SheCode Reflection Questionnaire

It's Time to Reflect

This form is an opportunity to tune into yourself and reflect on your journey in SheCode. It’s a gentle, introspective check-in designed to help me understand how the SheCode playground has impacted you.


There are no right or wrong answers—just your honest truth. Let’s reflect on the transformations and meaningful experiences we've had together. 💫

Personal Information

Reflection

For each category below, select the number that best represents where you feel you are right now.

  • 1: reflects one extreme (e.g., Head Space, Masculine Energy, or Work Time).

  • 10: reflects the opposite extreme (e.g., Heart Space, Feminine Energy, or Play Time).

  • 5: represents balance between the two.

Head Space to Heart Space
Masculine Energy to Feminine Energy
Work Time to Play Time

On a scale of 1–5, let us know how you feel about these areas in your life. Be honest—this is a chance to see where we can pour love and attention.


Scale: 1 = Not at all; 2 = Kind of; 3 = Usually; 4 = Most of the time; 5 = Always

How safe do you feel expressing yourself?
How often do you allow play in your life?
Do you feel confident in your feminine leadership?
How well do you manage your stress?

Please check "Yes" or "No" for each question to help us understand your journey and areas you may want to explore further.

Do you have a better understanding of your shadow self?
Yes
No
Do you have a better understanding of inner child work?
Yes
No
Do you feel you are living in your purpose?
Yes
No

A Gentle Pause for Self-Awareness

What do you feel you brought to life as this playground comes to a close?

Reflecting on the Playground

What was your favorite module?
Are you interested in the upcoming June plant medicine retreat?
Yes
No
Are you interested in 1:1 mentorship with Michelle?
Yes
No
Are you interested in getting breathwork certified?
Yes
No

Thank you for taking the time to reflect and share your heart with me. This has been a truly transformative experience to hold, and I am honored to have walked this journey with you.


Celebrating you in all your bravery, openness, and devotion throughout this SheCode playground.


Here’s to a beautiful integration of all you have uncovered. 🌸

Today's Date
Month
Day
Year
bottom of page