Health & Wellbeing Assessment
Yay you! The first step in taking charge of your health is assessing where you are NOW. These 13-questions are designed to help assess your current level of health and wellbeing. Please answer each question honestly based on what represents your current situation. After I review your answers, I will email you with an overview of your results. Let's get started!
Note: This is not an automated quiz! I will review your answers and send you a personal email back.
1. How would you rate your overall energy levels?
High and consistent
Moderate, with occasional fluctuations
Low, frequently feeling fatigued
2. How often do you engage in physical exercise or activity?
Regularly, at least 3-4 times per week
Occasionally, once or twice a week
Rarely, if ever
3. How would you describe your sleep quality?
Restful and uninterrupted
Average, with occasional difficulties falling or staying asleep
Poor, experiencing frequent sleep disturbances
4. What is your typical eating pattern?
Balanced diet with plenty of fruits, vegetables, and whole foods
Moderately healthy, with occasional indulgences
Unhealthy, relying heavily on processed foods and sugary snacks
5. How do you manage stress in your life?
Proactively with relaxation techniques or mindfulness practices
Adequately, with occasional stress management strategies
Poorly, experiencing frequent stress and struggling to cope
6. How often do you take breaks or engage in activities you enjoy?
Regularly, I prioritize self-care and leisure time
Occasionally, when I find the time
Rarely, I often neglect personal enjoyment and relaxation
7. Do you have any chronic health conditions or ongoing symptoms?
No, I'm generally in good health
Some mild conditions or occasional symptoms
Yes, I have significant health issues affecting my daily life
8. How would you rate your social connections and support system?
Strong, I have a supportive network of friends and family
Average, with a few close relationships
Limited, feeling isolated or lacking support
9. Are you up to date with your routine medical check-ups and screenings?
Yes, I regularly schedule and attend appointments
Somewhat, I may occasionally delay or miss appointments
No, I haven't been for a check-up in a long time
10. How satisfied are you with your overall quality of life?
Very satisfied, I feel fulfilled and content
Moderately satisfied, with some areas for improvement
Dissatisfied, feeling unfulfilled or unhappy
11. When was the last time you remember feeling your best in your health and feeling great in your body? What made it so great?
12. What is your biggest challenge in working on you and making your health a priority?
Great job! Is there anything you think is important for me to know about you before I calculate your results?
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Email
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