Everyday Athlete Health and Longevity Assessment

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Area Code

Phone Number

4

How would you rate your daily energy?* This field is required.

Constantly drained

Low most days

Midday crashes

Mostly steady

High & stable

7

Energy and Daily Function Score/12

11

Sleep Score/12

15

Joint Pain and Mobility Score/12

19

Training and Coaching Score/12

20

Frequency of mobility work?* This field is required.Mobility = stretching, yoga, foam rolling, etc.

Never

Rarely

1–2x/wk

3–4x/wk

Daily

21

Recovery routine?* This field is required.I.e. Yoga, stretching, foam roller, massage gun, sauna, etc.

None

Minimal

Sometimes

Consistent

Dialed-in system

23

Mobility and Recovery Score/12

29

Nutrition Score/20

31

Stress management techniques?* This field is required.I.e. Journaling, mediation, exercise, reading, etc

None

Rare

Occasional

Consistent

Highly effective routine

33

Confidence in lifestyle change?* This field is required.Confidence in your ability to stick to a plan.

None

Low

Moderate

Good

Very high

34

Managing stress & nutrition?* This field is required.

Can’t manage either

Struggle w/ both

Can do one

Both inconsistently

Good at both consistently

35

Stress, Burnout and Mindset Score/20

37

Biggest concern if nothing changes?* This field is required.

Decline/illness

Loss of energy

Weight gain

Plateau

Not concerned

40

Insight and Risk Score/16

41

Total Readiness Score/100Total Readiness: ≤ 30 → 🚨 High-Risk — Foundational Rebuild 31–60 → ⚠️ Inconsistent — Big Upside Potential 61–80 → ✅ Solid Base — Optimization Ready 81–100 → 🔥 Elite — Let's Continue to Build