H2F Survey

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Do you perform at your full potential?

Take our short assessment, find out which areas of your health and wellbeing need improvement, and get your personal report with recommended actions.

22Questions

1
Name
First Name
Last Name
2
Email
example@example.com
3
Phone Number
Please enter a valid phone number.
4
In the last year, how often have injuries prevented you from physical training?
Not at all
Rarely
Sometimes
Frequently
All the time
5
How often a week do you perform moderate to vigorous intensity exercise?
5+ hours
3-5 hours
2-3 hours
1-2 hours
1 hour or less
6
How many events are you worried about failing on the ACFT?
None
1 event
2-3 events
4-5 events
All
7
How confident are you in designing your own exercise program?
Extremely
Confident
Somewhat confident
Little confidence
No confidence
8
I do exercises that develop my mobility and flexibility?
3 or > times per week
Twice per week
Once a week
Twice per month
Not at all
9
How many days did you eat the following meals and/or snacks (over the past 7 days).
0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days
Breakfast
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Lunch
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Dinner
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Snacks
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Breakfast
Lunch
Dinner
Snacks
0 days
Row 0, Column 0
1 day
Row 0, Column 1
2 days
Row 0, Column 2
3 days
Row 0, Column 3
4 days
Row 0, Column 4
5 days
Row 0, Column 5
6 days
Row 0, Column 6
7 days
Row 0, Column 7
0 days
Row 1, Column 0
1 day
Row 1, Column 1
2 days
Row 1, Column 2
3 days
Row 1, Column 3
4 days
Row 1, Column 4
5 days
Row 1, Column 5
6 days
Row 1, Column 6
7 days
Row 1, Column 7
0 days
Row 2, Column 0
1 day
Row 2, Column 1
2 days
Row 2, Column 2
3 days
Row 2, Column 3
4 days
Row 2, Column 4
5 days
Row 2, Column 5
6 days
Row 2, Column 6
7 days
Row 2, Column 7
0 days
Row 3, Column 0
1 day
Row 3, Column 1
2 days
Row 3, Column 2
3 days
Row 3, Column 3
4 days
Row 3, Column 4
5 days
Row 3, Column 5
6 days
Row 3, Column 6
7 days
Row 3, Column 7
1 of 4
10
Calculation
11
Over the last 30 days, how often did you eat/drink the following food/beverages?* This field is required.
Rarely/never
1-2x/week
3-4x/week
1x/day
3+/day
Fruits (fresh, frozen, canned, 100% juice)
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Vegetables (fresh, frozen, canned)
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Whole Grains: (brown rice, rye, whole wheat bread-pasta-tortilla, oatmeal, etc.)
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Dairy (Milk, yogurt, cheese)
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Protein (red meats, poultry, fish)
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Energy Drink/Shot
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Sugary Beverage (soda, sweet tea, lemonade, etc.)
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Alcohol Beverage (beer, wine, liqour)
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Water (8oz)
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
Fruits (fresh, frozen, canned, 100% juice)
Vegetables (fresh, frozen, canned)
Whole Grains: (brown rice, rye, whole wheat bread-pasta-tortilla, oatmeal, etc.)
Dairy (Milk, yogurt, cheese)
Protein (red meats, poultry, fish)
Energy Drink/Shot
Sugary Beverage (soda, sweet tea, lemonade, etc.)
Alcohol Beverage (beer, wine, liqour)
Water (8oz)
Rarely/never
Row 0, Column 0
1-2x/week
Row 0, Column 1
3-4x/week
Row 0, Column 2
1x/day
Row 0, Column 3
3+/day
Row 0, Column 4
Rarely/never
Row 1, Column 0
1-2x/week
Row 1, Column 1
3-4x/week
Row 1, Column 2
1x/day
Row 1, Column 3
3+/day
Row 1, Column 4
Rarely/never
Row 2, Column 0
1-2x/week
Row 2, Column 1
3-4x/week
Row 2, Column 2
1x/day
Row 2, Column 3
3+/day
Row 2, Column 4
Rarely/never
Row 3, Column 0
1-2x/week
Row 3, Column 1
3-4x/week
Row 3, Column 2
1x/day
Row 3, Column 3
3+/day
Row 3, Column 4
Rarely/never
Row 4, Column 0
1-2x/week
Row 4, Column 1
3-4x/week
Row 4, Column 2
1x/day
Row 4, Column 3
3+/day
Row 4, Column 4
Rarely/never
Row 5, Column 0
1-2x/week
Row 5, Column 1
3-4x/week
Row 5, Column 2
1x/day
Row 5, Column 3
3+/day
Row 5, Column 4
Rarely/never
Row 6, Column 0
1-2x/week
Row 6, Column 1
3-4x/week
Row 6, Column 2
1x/day
Row 6, Column 3
3+/day
Row 6, Column 4
Rarely/never
Row 7, Column 0
1-2x/week
Row 7, Column 1
3-4x/week
Row 7, Column 2
1x/day
Row 7, Column 3
3+/day
Row 7, Column 4
Rarely/never
Row 8, Column 0
1-2x/week
Row 8, Column 1
3-4x/week
Row 8, Column 2
1x/day
Row 8, Column 3
3+/day
Row 8, Column 4
1 of 9
12
Calculation
13
I get sufficient amounts of sleep and general recovery each day
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
14
My average amount of sleep during workdays
Less than 5 hours
5-6 hours
6-7 hours
7-8 hours
More than 8 hours
15
Do you consider your sleep problem to interfere with your daily functioning (e.g. daytime, fatigue, mood, ability to function at work/daily chore, concentration, memory, mood, etc.) currently
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
16
I have trouble sleeping - I can not fall or stay asleep, and/or don't feel well-rested when I wake up
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
17
I am happy with my general mental energy level
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
18
I have trouble focusing, concentrating, or remembering things
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
19
I take part in activities and hobbies in my free time that help recharge my energy levels
Rarely
Once per week
2-3 days a week
4-5 days a week
6-7 days a week
20
I have a healthy way to decompress after a stressful day
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
21
I feel like I have found a really significant meaning in my life
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
22
I have a system of values and beliefs that guide my daily activities
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
23
I am able to manage and balance my different roles and responsibilities well
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
24
Do you feel a higher sense of passion and purpose in your life
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
25
PRPhysical Readiness
26
NR
27
SR
28
MR* This field is required.
29
SPR
30
CR
Should be Empty:

Question Label

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