Healthy Habits Quiz
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-000-00.
Instagram name @
*
How healthy do you feel on a scale of 1-10?
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Please Select
1
2
3
4
5
6
7
8
9
10
How active are you on a daily basis?
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Relatively inactive
Somewhat active
Very active
Do you know your daily protein target and why it’s important?
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Yes
No
What appeals to you the most when it comes to your physical health?
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Energy & vitality
Weight loss
Sports performance
A mix of things
On a scale of 1-10 how serious are you about your physical health results?
*
Please Select
1
2
3
4
5
6
7
8
9
10
In terms of your mental health and well-being, how would you class your current state?
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Reasonably happy and content
Very happy with all areas of my life
Very stressed
Somewhat unsatisfied with certain elements of my life
What do you find to bring you the most stress in your life?
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Lack of body confidence
Unhealthy lifestyle
Never enough time
Financial pressures
In summary, which of the following options would be your priority?
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Work on my physical health results
Be a part of a positive community
Have more time and less financial stress
Has this Healthy Habits Quiz been insightful?
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Yes
No
Somewhat
Submit
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