Overall Wellness Assessment 
  • MBM Wellness Quiz 

    There are 6 Dimensions of Wellness; Physical, Emotional, Social, Intellectual, Occupational, and Spiritual. Showing special attention to each component will lead to peak health, happiness, balance, and fulfillment. I promise. The first step to seeing quite where you may be lacking, or what aspects you can improve on is to complete this MindBodyMeisha Wellness Assessment! This allows both you and I to see exactly where you are and where you could use a bit of help. After completing the MBM Wellness Assessment, you'll receive your score and a few actionable tips. It’s important to be as brutally honest with yourself when answering; this is a judgment-free zone! Let’s see where I can help you, be the best version of you. If you have any questions or concerns, please email me at Care@MindBodyMeisha.com.
  • Format: (000) 000-0000.
  • On average, how many hours of sleep are you getting at night?*
  • Are you getting paid for doing something you love?*
  • How often are you doing things to take care of yourself/practice self-care? (daily routines, journaling, going out for fresh air, facials, walks, working out, eating clean, etc)*
  • How often do you smoke cigarettes?*
  • How many bottles of water (16oz) do you generally drink daily?*
  • How often do you drink juice or soda (excluding cold-pressed)?*
  • How many meals do you eat per day?*
  • When do you usually have the largest meal of the day?*
  • How many servings(1cup or handful) of fruit do you eat every day?(smoothies & cold-pressed juices included)*
  • How many servings(1cup or handful) of vegetables do you eat daily?(smoothies & cold-pressed juices included)*
  • How often do you get at least 30min of physical exercise?*
  • How often do you have fried food (fries, fried chicken, donuts, etc.)?*
  • When cooking, do you prefer butter or oil?*
  • How often do you eat until you're 100% full/stuffed?*
  • After you eat your favorite meals, how does your body feel shortly after?*
  • How often did you take a post-lunch nap in the last month?*
  • What is your preferred choice of alcohol?*
  • What do you do in your spare time? Pick which activity is most similar*
  • What's your overall mood like in the last 6 months?*
  • What are your usual means of transportation?*
  • Do you hang out with your friends often?*
  • Do you food journal and document what you eat on a regular basis?*
  • Do you find joy in eating healthy foods?
  • Do you have some short term goals?*
  • Do you have some long term goals?*
  • What kind of results are you looking for for yourself?*
  • Have you ever struggled with an eating disorder?*
  • What is your weight loss/ weight gain goal for the remainder of the year? What feels achievable?*
  • If someone told you that you’d need to throw away all the foods in your cupboards today and go shopping for different foods that are more appropriate to your goal, would you do it?*
  • What do you think about eating healthy?*
  • Should be Empty: