HEALTH SHIFT: Optimal Health Survey

  • Optimal Health Survey 2.0

    The following Optimal Health Survey 2.0 is a self assessment tool to gauge fundamental healthy lifestyle habits. Remember this is a self-evaluation so be honest with yourself, no one will see this but you. This is your journey, yours alone. Give yourself time to reflect on the life that you are living (lifestyle). Is your health Good? Can it be Better? Is it the Best it can be?
  • Format: (000) 000-0000.

  • Optimal Health Survey 2.0

    The following Optimal Health Survey 2.0 is a self assessment tool to gauge fundamental healthy lifestyle habits.  For each question you will rate your level of dedication and commitment on a scale of 1 to 5 with 1 = "I don't do a good job with this aspect of my lifestyle" and 5 = "I do an excellent job with this aspect of my lifestyle". At the completion of the Optimal Health Survey 2.0 you will receive your Optimal Health Score.
  • Image field 21
  • On a scale of 1 to 5, how much natural sun exposure do you get?*
  • Image field 22
  • On a scale of 1 to 5, how healthy is your diet and daily consumption (meals, snacks, beverages)?*
  • Image field 41
  • On a scale of 1 to 5, how often do you Fast (abstain from things like food, sex, alcohol, media/tv, etc)?*
  • Image field 26
  • On a scale of 1 to 5, Do you take any supplements (vitamins, minerals, etc) on a daily basis?*
  • Image field 37
  • On a scale of 1 to 5, how much exercise (minimum 30 minutes/day) do you get daily?*
  • Image field 36
  • On a scale of 1 to 5, how well do you sleep (quality and quantity) on a daily basis?*
  • Image field 35
  • On a scale of 1 to 5, how much Quality time (with Family & Friends) do you get on a daily basis?*
  • Image field 34
  • On a scale of 1 to 5, how frequently do you do Body Maintenance (Massage, Chiropractic, etc) on a regular (weekly or monthly) basis?*
  • Image field 38
  • On a scale of 1 to 5, how well is your Elimination (Regular bowel movements 1-2x/day minimum) on a daily basis?*
  • Image field 39
  • On a scale of 1 to 5, how frequently do you engage in Meditation (quiet time, power hour, prayer life) on a daily basis?*
  • Image field 40
  • On a scale of 1 to 5, how much is your Water intake/hydration (1 liter minimum/day) on a daily basis?*

  • The Optimal Health Scores range from 11-55.

    A score of 11-39 is POOR Health,

    a score of 40-43 is FAIR Health,

    a score of 44-48 is GOOD Health,

    a score of 49-55 is GREAT Health

  •  
  • Should be Empty: