Vitality Assessment

Vitality Assessment
Name:
Date:
Email:
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Place a check mark in the box for each answer that applies.

NUTRITION & DIGESTION

Rows	Never Me	Seldom Me	Sometimes Me	Often Me	Always Me
I eat mostly whole, nutrient-dense foods and limit processed foods.
I have steady energy throughout the day without relying on caffeine or sugar.
I rarely experience bloating, indigestion, or digestive discomfort.
I have regular bowel movements and healthy digestion.
I eat plenty of vegetables, fruits, and fibre-rich foods daily.

Section Score _____/25

MOVEMENT & METABOLISM

Rows	Never Me	Seldom Me	Sometimes Me	Often Me	Always Me
I am physically active for at least 30 minutes most days.
I have good strength, stamina, and mobility for my age.
I recover well after exercise or physical activity.
I maintain a healthy body weight without extreme dieting.
I eat plenty of vegetables, fruits, and fibre-rich foods daily.

Section Score _____/25

REST & MANAGE STRESS

Rows	Never Me	Seldom Me	Sometimes Me	Often Me	Always Me
I fall asleep easily and wake feeling refreshed.
I sleep through the night without frequent waking.
I feel calm and resilient when facing life’s challenges.
I have healthy ways to manage stress and emotions.
I maintain a positive outlook and enjoy daily life.

Section Score _____/25

REDUCE TOXCITY

Rows	Never Me	Seldom Me	Sometimes Me	Often Me	Always Me
I choose natural products for my home and personal care whenever possible.
I drink plenty of clean water throughout the day.
I read labels and avoid highly processed foods and unnecessary chemicals.
I actively reduce exposure to environmental toxins where practical.
I spend time outdoors and maintain healthy lifestyle habits that support natural detoxification.

Section Score _____/25
Section Score: _____ / 25

INFORMED SELF-CARE

Rows	Never Me	Seldom Me	Sometimes Me	Often Me	Always Me
I take responsibility for my health through daily wellness habits.
I support my health with appropriate nutrition and supplementation.
My immune system is strong and I recover quickly when I get sick.
I experience mental clarity, focus, and good memory.
I feel confident that my current lifestyle supports long-term health and vitality.

Section Score _____/25
Place each rating from above in appropriate box
Proactive Medical Care
Informed Self Care
Reduce Toxicity
Rest & Manage Stress
Movement & Metabolism
Nutrition & Digestion
Based on your answers, identify your top health priorities/concerns.
What do you want to experience more of?
What do you want to experience less of?
Should be Empty: