Brain Health Assessment
Evaluate your mental, physical, and emotional clarity to understand your brain health.
The Cognitive Fog Audit
How often do you struggle with word retrieval (finding the right word)?
*
1 Never
2 Rarely
3 Sometimes
4 Often
5 Always
How often do you feel your mental endurance fades quickly (mental fatigue)?
*
1 Never
2 Rarely
3 Sometimes
4 Often
5 Always
How often do you walk into a room and forget why you went in there?
*
1 Never
2 Rarely
3 Sometimes
4 Often
5 Always
How often do you misplace items like keys or commonly used objects?
*
1 Never
2 Rarely
3 Sometimes
4 Often
5 Always
How often do you notice decreased spatial awareness (bumping into things, getting lost)?
*
1 Never
2 Rarely
3 Sometimes
4 Often
5 Always
How often do you find switching between tasks difficult or overwhelming?
*
1 Never
2 Rarely
3 Sometimes
4 Often
5 Always
How often do you struggle with retention (remembering what you read, conversations, or instructions)?
*
1 Never
2 Rarely
3 Sometimes
4 Often
5 Always
Physical Markers
How regularly do you consume dairy, processed sugars, or gluten (inflammatory load)?
*
1 Never
2 Rarely
3 Moderately
4 Frequently
5 Daily
How consistently do you get 7–8 hours of sleep and wake feeling refreshed (restoration)?
*
1 Always (Completely refreshed)
2 Mostly
3 Sometimes
4 Rarely
5 Never (Always exhausted)
How consistent are you with mineral support and detoxification (e.g., supplementing with high-quality Magnesium or completing a detox program in the past year)?
*
1 Fully optimized
2 High consistency
3 Moderate consistency
4 Low consistency
5 Not at all
How consistently do you meet the target of at least 150 minutes per week of heart-rate-elevating movement (movement)?
*
1 Always (150+ minutes)
2 Mostly (120–150 minutes)
3 Sometimes (60–120 minutes)
4 Rarely (Under 60 minutes)
5 Never (0 minutes)
To what degree are you exposed at home or work to invisible stressors like mold, heavy metals, or chronic high stress (toxic load)?
*
1 No exposure / None
2 Very low exposure
3 Moderate exposure
4 High exposure
5 Extreme exposure
Spiritual & Emotional Clarity
How much does fear of cognitive decline (Alzheimer's/Dementia) impact your daily peace?
*
1 Not at all
2 Mildly
3 Moderately
4 Significantly
5 Constant worry
When you spend 5 minutes in silence, how does the experience feel to you?
*
1 A total sanctuary (Complete peace)
2 Mostly peaceful
3 Moderately busy but manageable
4 Mostly chaotic
5 A total “war zone” (Overwhelming thoughts)
First Name
*
Email
*
example@example.com
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