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Melissa Hall Klepacki

Melissa Hall Klepacki

Vibrant Wellness Assessment

24Questions

1
Please answer each question on a scale from 1-5. 1 is never/rarely and 5 is always. You will receive your score at the end of the assessment.
2
I get 7-8 hours of sleep a night and am able to wake without an alarm.
3
I get to bed about the same time every evening.
4
I wake in the morning feeling refreshed and ready for the day.
5
If I wake at night I am able to fall back to sleep within 5 minutes.
6
I eat a diet based on whole foods (nothing in bags and boxes).
7
I avoid fast food.
8
I take supplements that have been suggested to me by a wellness provider.
9
I drink 6-8 glasses of clean, distilled or filtered water every day.
10
I notice that my urine is clear or light yellow in color.
11
I have a breathwork or meditation practice that I use daily to ground me.
12
I have a preferred style of meditation/mindfulness that works for me.
13
I recognize negative habits and work to create healthier ones.
14
My mood and anger are in check at all times.
15
I exercise 4-5 times a week for a minimum of 30 minutes.
16
I enjoy moving my body in purposeful exercise and do so with ease
17
I read labels on foods and products and always try to make better choices.
18
I have replaced toxic personal care products and cleaning supplies with safer products.
19
I can walk for 10 minutes briskly without getting winded.
20
I sweat daily either through exercise, a sauna or bath.
21
I poop at least once a day without needing medications.
22
I make time daily for nature and fresh air regardless of the weather.
23
Score
24
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25
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26
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