• Image field 57
  • Wellness Self-Assessment Questionnaire

    Discover which supplement protocols may best support your wellness goals. This questionnaire covers stress, mood, sleep, hormone vitality, and thyroid health. Answer each question honestly to receive personalized guidance. Based on your responses, you’ll be directed to educational tips, recommended supplement protocols, or a consult for tailored support.
  • This questionnaire is for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting any supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.*
    Rows
  • Staying Balanced and Calm

  • You’re managing stress well! Your current routines and coping strategies are supporting emotional balance. Keep practicing mindful breaks, relaxation techniques, and healthy lifestyle habits to maintain this calm state.

    Next Steps:

    • Continue with daily self-care practices
    • Explore lifestyle tips and education resources to support long-term emotional wellness

    Protocol:
    At this score range, no supplement protocol is required right now. Focus on maintaining balance and awareness.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Calm Support Protocol Recommended

  • You may benefit from additional support to maintain emotional balance during seasons of tension or stress. The Calm Support Protocol is designed to help support a calmer stress response, reduce occasional worry, and promote overall emotional wellness.

    Next Steps:

    • Consider starting the Calm Support Protocol to complement your daily routines
    • Review lifestyle strategies for stress management, mindfulness, and relaxation

    Protocol: Calm Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Support Recommended

  • Your stress levels indicate you may benefit from more targeted support. Combining a consult with the Calm Support Protocol can help you develop a personalized plan to maintain emotional balance, reduce worry, and support resilience during challenging periods.

    Next Steps:

    • Book a consult with a wellness professional to tailor the protocol to your needs
    • Begin the Calm Support Protocol under guidance to optimize results

    Protocol: Calm Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Support Your Mood

  • Your mood appears stable, but this assessment can help you identify areas to maintain emotional wellness and resilience.

    Next Steps:

    • Maintain healthy habits, social connections, and daily activity
    • Explore lifestyle strategies to support emotional resilience

    Protocol:
    At this score range, no supplement protocol is required. Focus on sustaining positive mood and well-being practices.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Mood Support Protocol Recommended

  • You may benefit from additional support to maintain emotional balance and overall mental resilience. The Mood Support Protocol is designed to support healthy mood, emotional wellness, and mental balance.

    Next Steps:

    • Consider starting the Mood Support Protocol to complement your daily routines
    • Review lifestyle strategies for stress management, emotional wellness, and resilience

    Protocol: Mood Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Mood Support Recommended

  • Your responses indicate you may benefit from more targeted support to optimize mood and mental resilience. Combining a consult with the Mood Support Protocol can help you develop a personalized plan for emotional wellness and overall mental balance.

    Next Steps:

    • Book a consult with a wellness professional to tailor the protocol to your needs
    • Begin the Mood Support Protocol under guidance to optimize results

    Protocol: Mood Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Sleep Wellness Check

  • Your sleep patterns appear generally healthy. You’re doing well at maintaining a restful nighttime routine. Keep following consistent sleep schedules and relaxation strategies to support restorative sleep.

    Next Steps:

    • Maintain consistent bedtime and wake times
    • Incorporate relaxing pre-sleep routines and limit screen time before bed

    Protocol:
    At this score range, no supplement protocol is required. Focus on sustaining healthy sleep habits and awareness.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Sleep Support Protocol Recommended

  • You may benefit from additional support to improve relaxation, restful sleep, and your nighttime routine. The Sleep Support Protocol is designed to help promote deeper, more restorative sleep.

    Next Steps:

    • Consider starting the Sleep Support Protocol to complement your current sleep habits
    • Review lifestyle strategies for better sleep, including winding down and reducing evening stress

    Protocol: Sleep Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Sleep Support Recommended

  • Your responses indicate that more targeted support could benefit your sleep quality and nighttime routine. Combining a consult with the Sleep Support Protocol can help create a personalized plan for deeper, restorative sleep.

    Next Steps:

    • Book a consult with a wellness professional to tailor your sleep support plan
    • Begin the Sleep Support Protocol under guidance for optimal results

    Protocol: Sleep Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Energy & Stress Wellness Check

  • Your energy and stress response appear well-balanced. You’re managing daily demands effectively, and your adrenal function seems stable. Continue following healthy lifestyle habits to maintain this balance.

    Next Steps:

    • Maintain consistent routines for sleep, nutrition, and movement
    • Incorporate stress-reducing practices such as short breaks, breathing exercises, or light activity

    Protocol:
    At this score range, no supplement protocol is required. Focus on sustaining energy balance and resilience.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Stress Response Support Recommended

  • You may benefit from additional support to optimize energy balance, adrenal function, and your body’s response to daily stress. The Stress Response Support Protocol is designed to help support these areas and maintain consistent energy throughout the day.

    Next Steps:

    • Consider starting the Stress Response Support Protocol to complement your current lifestyle
    • Review strategies for managing stress, improving energy, and supporting adrenal health

    Protocol: Stress Response Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Stress & Energy Support Recommended

  • Your responses indicate that targeted support could help optimize adrenal function, energy balance, and your body’s response to daily stress. Combining a consult with the Stress Response Support Protocol can help create a personalized plan for sustained energy and resilience.

    Next Steps:

    • Book a consult with a wellness professional to tailor your stress and energy support plan
    • Begin the Stress Response Support Protocol under guidance for optimal results

    Protocol: Stress Response Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Men’s Vitality Wellness Check

  • Your energy, stamina, and hormone wellness appear balanced. You’re maintaining vitality effectively with your current routines. Keep up healthy habits to support ongoing male wellness.

    Next Steps:

    • Maintain consistent sleep, nutrition, and exercise routines
    • Incorporate stress management and lifestyle habits to support overall vitality

    Protocol:
    At this score range, no supplement protocol is required. Focus on sustaining current energy and wellness practices.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Men’s Vitality Support Recommended

  • You may benefit from additional support to optimize male hormone wellness, energy, and stamina. The Men’s Vitality Support Protocol is designed to support overall vitality and enhance daily performance.

    Next Steps:

    • Consider starting the Men’s Vitality Support Protocol to complement your current routines
    • Review lifestyle strategies for energy, exercise, and hormone support

    Protocol: Men’s Vitality Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Men’s Vitality Support Recommended

  • Your responses indicate that more targeted support could help optimize male hormone wellness, energy, and stamina. Combining a consult with the Men’s Vitality Support Protocol can help create a personalized plan to enhance vitality and daily performance.

    Next Steps:

    • Book a consult with a wellness professional to tailor your vitality plan
    • Begin the Men’s Vitality Support Protocol under guidance for optimal results

    Protocol: Men’s Vitality Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Women’s Vitality Wellness Check

  • Your energy, desire, and overall wellness appear balanced. You’re maintaining vitality effectively with your current routines. Keep up healthy habits to support ongoing female wellness.

    Next Steps:

    • Maintain consistent sleep, nutrition, and exercise routines
    • Incorporate stress management and lifestyle habits to support overall vitality

    Protocol:
    At this score range, no supplement protocol is required. Focus on sustaining current energy, desire, and wellness practices.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Women’s Vitality Support Recommended

  • You may benefit from additional support to enhance energy, desire, and overall wellness. The Women’s Vitality Support Protocol is designed to support female vitality and help optimize daily performance and balance.

    Next Steps:

    • Consider starting the Women’s Vitality Support Protocol to complement your current routines
    • Review lifestyle strategies for energy, hormone balance, and wellness support

    Protocol: Women’s Vitality Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Women’s Vitality Support Recommended

  • Your responses indicate that targeted support could help optimize energy, desire, and overall female wellness. Combining a consult with the Women’s Vitality Support Protocol can help create a personalized plan to enhance vitality and daily performance.

    Next Steps:

    • Book a consult with a wellness professional to tailor your vitality plan
    • Begin the Women’s Vitality Support Protocol under guidance for optimal results

    Protocol: Women’s Vitality Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Thyroid & Immune Wellness Check

  • Your thyroid and metabolic health appear stable. Your energy, metabolism, and immune balance are functioning well. Continue healthy lifestyle habits to maintain this balance and overall wellness.

    Next Steps:

    • Maintain balanced nutrition, sleep, and physical activity
    • Incorporate stress management and healthy daily routines to support thyroid and immune function

    Protocol:
    At this score range, no supplement protocol is required. Focus on sustaining current wellness practices and awareness.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Thyroid Immune Support Recommended

  • You may benefit from additional support to optimize thyroid wellness, immune balance, and overall metabolic health. The Thyroid Immune Support Protocol is designed to support these areas and help maintain energy and metabolic balance.

    Next Steps:

    • Consider starting the Thyroid Immune Support Protocol to complement your current wellness habits
    • Review lifestyle strategies for thyroid support, nutrition, and stress management

    Protocol: Thyroid Immune Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Thyroid Immune Support Recommended

  • Your responses indicate that targeted support could help optimize thyroid function, immune balance, and metabolic health. Combining a consult with the Thyroid Immune Support Protocol can help create a personalized plan to support energy, metabolism, and overall wellness.

    Next Steps:

    • Book a consult with a wellness professional to tailor your thyroid and immune support plan
    • Begin the Thyroid Immune Support Protocol under guidance for optimal results

    Protocol: Thyroid Immune Support Protocol

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Digestive Support: No Protocol Required

  • Your digestive health responses indicate that additional supplement support may not be a primary focus at this time. Continue healthy lifestyle habits, balanced nutrition, and daily routines to support overall digestive wellness.

    Next Steps:

    • Maintain balanced nutrition, hydration, and healthy eating habits
    • Continue lifestyle practices that support digestion and overall wellness

    Protocol:
    At this score range, no supplement protocol is required. Focus on sustaining current wellness practices and awareness.

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Digestive Support Recommended

  • Your responses indicate that digestive health may be an area where additional support could be beneficial. The Digestive Support Protocol is designed to support digestive wellness and complement healthy nutrition and lifestyle habits.

    Next Steps:

    • Consider starting the Digestive Support Protocol to support your digestive wellness goals
    • Review nutrition and lifestyle strategies that may help improve digestive balance
    • Work with Lauren Swonke, Registered Dietitian Nutritionist and Licensed Dietitian at Breathe Integrative and Lifestyle Medicine, for personalized dietary guidance, as supplements may not be as effective without addressing nutrition and lifestyle factors

    Protocols:

    Phase 1:
    Digestive Support Phase 1 Protocol MB

    Phase 2:
    Digestive Support Phase 2 Protocol MB

    Disclaimer:
    This protocol is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Personalized Digestive Support Recommended

  • Your responses indicate that digestive health and dietary habits may be an important part of your wellness journey. A personalized approach that combines nutrition support, lifestyle changes, and targeted supplementation may help create a more complete wellness plan.

    Next Steps:

    • Schedule a consultation with Lauren Swonke, Registered Dietitian Nutritionist and Licensed Dietitian at Breathe Integrative and Lifestyle Medicine, for personalized dietary guidance. Call or Text: 979-231-0341
    • Work with Lauren to identify nutrition and lifestyle changes that may better support your digestive wellness goals
    • Consider targeted supplement support alongside dietary changes for a more comprehensive approach

    Protocol:
    Personalized Digestive Support Recommendation

    Disclaimer:
    This information is intended for general wellness support and education. It is not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare provider before starting a new supplement protocol, especially if you are pregnant, nursing, taking medications, or managing a medical condition.

  • Want to keep a copy of your results? Click "Print" below, then choose "Save as PDF"
  •  
  • Should be Empty: