• End of GutStrong

    Personal Health Assessment [PHA]

  • ⚠️ Please Read Before You Begin
    This is your opportunity to look back and see just how far you've come. Please do NOT have your 'Start of PHA' in front of you. We want you to answer this based on how you feel NOW.

    Why it matters...
    Progress isn't always measured by the scales or a single symptom. Often the biggest changes are the ones we don't notice day to day—more energy, better sleep, calmer digestion, clearer thinking, less pain, improved mood, healthier skin, greater confidence, and feeling more like yourself again.

    Taking the time to compare where you are today with where you started helps you recognise just how much has changed.

    The questions...
    Please answer every question based on how you feel today. Be just as honest as you were when you completed your first PHA. Every answer helps us measure your progress, celebrate your wins, identify any remaining roadblocks, and determine the best next steps for your continued health journey.

    Your opportunity...
    This is your chance to pause and celebrate your progress. As you move through this profile, you'll probably notice changes you hadn't fully appreciated. You may also recognise areas that still need attention—and that's okay. Health isn't about perfection. It's about continual progress, and every positive step is worth celebrating.

    Please be honest...
    Not "better" honest. Real honest. If something has improved, celebrate it. If something hasn't changed as much as you'd hoped, tell us. Honest answers allow us to celebrate your achievements while giving you the best guidance for what comes next.

    Today isn't the end of your journey—it's a milestone. It's your opportunity to look back with pride, recognise how far you've come, and look ahead with confidence.

  • Instructions...

    1. We highly recommend completing your PHA on a desktop or laptop, as the written sections can be difficult to complete on a phone.
    2. At the end of the first page (section) click the SAVE button. This will prompt you to create an account (with JotForm) which then emails you a link email link to your saved form. Check junk/spam folder if the link is not in your inbox. Email comes from noreply@jotform.com 

    3. At the end of every page (section) ENSURE you click the SAVE button, then click NEXT if you are still continuing. This way you will never lose any inputted information. Your JotForm email link will take you to the place on the form where you left off. 

  • Personal details

  • Today's Date*
     - -

  • HEALTH, MEDICATIONS AND SUPPLEMENTS

    List ALL your health issues, conditions, disorders etc. (even little niggles) that you STARTED with and HOW they have improved

  • Prescription Medications

    List all prescribed medications (including contraceptives) AND any over-the-counter drugs (e.g. Nurofen, Panadol etc.) you STARTED with and the CHANGE in dosage. If NONE, please type in NONE

  • Supplements

    Please list every vitamin, mineral, probiotic or nutritional supplement you KEPT TAKING THROUGHOUT GUTSTRONG (even if only occasionally). Examples: Magnesium, Vitamin D, Fish Oil, Iron, Zinc, Calcium, B vitamins, Probiotics, Digestive Enzymes etc.

  • Powders, Tonics & Over-the-Counter Health Products

    Please list any health products you regularly or occasionally used THROUGHOUT GUTSTRONG. This includes protein powders, collagen powders, food powders, fibre products, herbal preparations and over-the-counter products such as antacids.

  • Cosmetic & Beauty Treatments

    Please list any cosmetic or beauty treatments you have undergone DURING GUTSTRONG. Examples include Botox®, fillers, laser treatments, IPL, skin needling, chemical peels, cosmetic surgery and similar procedures.

  • Antibiotics

    Please list all courses of antibiotics you have taken while DOING GUTSTRONG
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  • SLEEP

  • MOOD, STRESS & CONCENTRATION…

    Can be connected with work, home life, social situations, family, friends, relationships, finances, health concerns, world issues.
  • Anxiety... select ALL that apply*
  • Overwhelm... select ALL that apply*
  • Frustration... select ALL that apply*
  • Mind is ALWAYS on... select ALL that apply*
  • Sad and/or lonely... select ALL that apply*
  • Concentration... select ALL that apply*
  • Stress... select ALL that apply*

  • DIGESTION…

  • ENERGY…

  • SKIN, HAIR, NAILS, MOUTH…

    We highly recommend taking a photo of any issues, so you have a visual record. This way you can easily compare progress when updating.
  • Face condition... select ALL that apply
  • Body condition... select ALL that apply
  • Hair and Scalp condition... select ALL that apply
  • Fingernails condition ... select ALL that apply*
  • Toenails condition ... select ALL that apply*
  • Tongue condition ... select ALL that apply*
  • Lips, mouth and teeth ... select ALL that apply*
  • Heels of feet... select ALL that apply*

  • RESPIRATORY AND CIRCULATION...

  • ACHES AND PAINS...

  • HORMONES, URINARY...

  • Peri-menopause / Menopause symptoms*

  • Measurements

  • ⚠️ IMPORTANT... Please Read
    Once you've recorded your starting weight and measurements, please don't weigh or measure yourself again until we ask you to (yes, we're serious!).

    Why?

    Because these numbers are simply baseline data—not a measure of your success.

    Real, lasting health isn't built by chasing the number on the scales. That keeps your focus on short-term results. Instead, we want you to focus on the daily habits that create long-term change—better food choices, improved sleep, more energy, calmer digestion, less pain, and all the other signs that your body is healing.

    Trust the process.

    If you know you'll be tempted to jump on the scales, ask a friend or family member to look after them until it's time. You might laugh... but many of our most successful members have done exactly that!

    Your focus is simple... Build a healthier body. The numbers will follow.

  • GutStrong Food and Lifestyle

    Lasting health is built through consistent daily habits—not perfection. We'd love your honest reflection on how consistently each area has become part of your lifestyle. There are no right or wrong answers. This simply helps us understand your results and identify where we can continue supporting you.

  • Food

    Approximately what percentage of the time have you consistently followed the GutStrong food principles?
  • *

  • Digestive Dominoes

    Approximately what percentage of the time have the Digestive Dominoes been part of your everyday life?
  • *

  • Movement

    Approximately what percentage of the time has each of these movement areas been part of your weekly routine?
  • Move-Breathe-Sip*
  • Barefoot walking*
  • Before bed Yin Yoga*
  • HIIT Workouts*
  • Resistance band training*

  • Sleep

    Approximately what percentage of the time have you consistently followed the GutStrong sleep habits?
  • *

  • Stress Management

    Approximately what percentage of the time have you consistently practised the stress-management strategies taught in GutStrong?
  • *

  • Skin care

    Approximately what percentage of your skin care routine and products now align with GutStrong recommendations?
  • *

  • Oral care

    Approximately what percentage of your oral care routine now aligns with GutStrong recommendations?
  • *

  • Home Care

    Approximately what percentage of your home care products now align with GutStrong recommendations?
  • *

  • Reflection & Looking Forward

    Take a few moments to reflect on your journey. Looking back helps you recognise just how far you've come and prepares you for the next chapter of your health.

  • Visual Health Record

    Photos are one of the most powerful tools you can use to track your progress. While numbers on a scale or measurements can tell part of the story, photos often reveal changes you might not notice day to day. They capture posture, shape, skin health, and overall vitality in ways that written notes cannot. These images will remain private and secure. This is OPTIONAL
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