Build a life where health fuels performance - not competes with it
Your body is your most important environment. It is the only house you will spend your life in.
We live in a world that pulls us in every direction - performance, productivity, responsibilities. But how often do we stop and ask: What does my body need to truly thrive? This quick check-in is designed to help you reflect, reconnect, and discover what areas of your health might need attention - with a little guidance toward solutions that actually fit you. ✨ Take a few mindful minutes, reflect on the topics and walk away with clarity. Because your body isn’t in your way. It’s your way forward.
Name
*
First Name
Last Name
Email
*
example@example.com
Tiredness 1=often, 10=never
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1
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Energy Level 1=low, 10=high
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Resilience 1=low, 10=high
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Emotional State 1=bad/weak, 10=good/strong
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1
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Allergies 1=often/a lot, 10=never/little
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Eyesight 1=bad, 10=good
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Blood Pressure 1=high, 10=low
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1
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Memory 1=bad, 10=good
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Blood Vessels 1=bad, 10=good
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Joints & Bones 1=bad, 10=good
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Skin - Face 1=bad, 10=good
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Skin - Body & Hands 1=bad, 10=good
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Concentration 1=bad, 10=good
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Libido & Potency 1=bad, 10=good
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Nail & Hair 1=bad, 10=good
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1
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Scars (if you don't have any = 10) 1=bad, 10=good
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1
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Eczema (if you don't have it = 10) 1=bad, 10=good
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1
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Periodontal Disease 1=bad, 10=good
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1
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Sleep 1=bad, 10=good
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1
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Pain 1=very strong, 10=no
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1
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Snoring 1=strong, 10=no
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1
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Digestion 1=bad, 10=good
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Vitality 1=bad, 10=good
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1
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Energy and Mental Balance
Gut & Detox
Heart & Metabolism
Please choose YES, to allow me to send you the results per eMail:
YES
NO
Thank you!
Live your best life.
Be Well
Tina
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