• STEP 2: The Holistic Lifestyle Questionnaire

  • Infos & Directions

    This questionnaire looks into different areas of your current lifestyle and your metabolic type, to help you and us to gain greater awareness about which areas need most attention to have the greatest and fastest results towards your goal. 

    All information is held in strict confidence.

    Please make sure you answer every question.

    Take all the time you need to complete this questionnaire.

  • How the questionnaire is structured:

    There are in total 2 parts: Holistic Lifestyle Questionnaire & Metabolic Type Questionnaire.
    With each between 1-6 sections

    Approx. Duration: 20-40mins

  • Are you ready to start? :) 

    Click "Start" below to begin with the 1st Section.

    Have fun! 

     

    Yours, 

    Mimi and Markus + Team MxM

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  • Holistic Lifestyle Coach Level 1

    Sycamore Business Center, 2105 Industrial Ct., Vista, CA 92081

    www.chekinstitute.com

    educate@chekinstitute.com

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  • YOU ARE WHAT YOU EAT

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  • YOU ARE WHAT YOU EAT

  • Total Score: {youAre499}

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  • STRESS

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  • STRESS

  • Total Score: {stressScore}

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  • CIRCADIAN HEALTH

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  • CIRCADIAN HEALTH

  • Total Score: {circadianHealth560}

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  • YOU ARE WHEN YOU EAT

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  • YOU ARE WHEN YOU EAT

  • Total Score: {youAre582}

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  • DIGESTIVE SYSTEM HEALTH

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  • DIGESTIVE SYSTEM HEALTH

  • Total Score: {digestiveSystem600}

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  • DETOXIFICATION SYSTEM HEALTH

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  • DETOXIFICATION SYSTEM HEALTH

  • Total Score: {detoxificationSystem628}

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  • HAQ Short Form Score Sheet

  •  

    You Are What You Eat

    Zones 1, 2 & 3

    Stress


    Zone 4

    Circadian Health

    You Are When You Eat


    Zone 3

    Digestive System Health

    Zones 1, 2 & 3

    Detoxification
    System Health


    Zones 3 & 4

    Total Score
      High Priority 130 81 90 50 81 88 520
    60 60 70 35 60 60 :(
      Moderate Priority 40 40 50 20 40 40 215
    30 30 40 15 30 30 :|
      Low Priority 20 20 30 10 20 20 125
    15 10 15 5 10 15 :)
    Score {youAre499} {stressScore} {circadianHealth560} {youAre582} {digestiveSystem600} {detoxificationSystem628}  {totalScore}
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  • Metabolic Typing Questionnaire

  • This questionnaire is designed to help you determine the optimal macro nutrient ratio (fats:proteins:carbohydrates) to begin the process of fine-tuning your body’s feedback mechanisms. For those of you not sure what a fat, protein or carbohydrate is, let me simplify that for you. If the food comes from something that has a set of eyes, it is going to be higher in fats and proteins; fats and proteins most often come together in nature. For example, cows, sheep, birds and fish all have eyes and all provide higher protein/fat foods. Foods like vegetables, breads and cereals do not come from a source that had a set of eyes and are generally much higher in carbohydrates and lower in fat and protein. There are a few exceptions to this rule; such as, nuts and avocados, which have no eyes, yet are high fat foods.


    When answering the questions, circle the answer that best describes the way you feel, not the way you think you should eat! If none of the answers suit you with regard to a particular question, simply don’t answer that question. If the answer A suits you some of the time (in the morning, but not the evening for example), and answer B suits you other times, you may circle both provided that the answers refer to how you may feel on any given day, not within a period of over 24 hours.

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  • Metabolic Typing Questionnaire

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  • Metabolic Typing Questionnaire

  • Total A answers: {noOf}

    Total B answers: {noOf669}

  • Test Result: {testScore}

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