The 60 Second Nourished Life Health Assessment with Tori Dumitru, RN

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WHAT MADE YOU REACH OUT TODAY? Check all that apply:

WOULD YOU LIKE ME TO REACH OUT WITH PERSONALIZED SUPPORT?

✨READY TO SUBMIT YOUR ANSWERS? If you're all set, scroll to the bottom and hit SUBMIT!

Want to go deeper? If you have a few more minutes, KEEP GOING-the more you share, the better I can personalize your FREE consult and recommendations! No pressure, just what feels right for you.✨

FOR THOSE ON GLP-1 MEDICATIONS: ("The Shot") Semaglutide, Tirzepetide, Retatrutide (Ozempic, Wegovy, Mounjaro, Zepbound, etc)

MEDICAL: Please mark if you have any of the following conditions:

If you've had Bariatric Surgery, what kind did you have and how long ago?

Are you taking medications for any of the above listed conditions? If so, what are they?

Are there any other medical or psychological conditions that would be helpful for me to know?

Any food allergies? If so, describe:

SLEEP: How many hours of sleep do you get each night?

Do you wake up feeling rested?

HYDRATION: How much water do you drink?

How much coffee?

How much soda?

How much alcohol?

PHYSICAL ACTIVITY: How would you rate your energy level (on a scale from 1-10)?

How many times a week do you exercise?

What kind of activities do you participate in?

Are there things you can't do that you would like to be able to do?

STRESS: How would you rate your stress level (on a scale from 1-10)?

What do you do for work? Do you enjoy it?

Are there other stressors in your life?

EATING HABITS: How many meals per day do you eat?

When do you eat your first meal?

Do you snack in between meals?

What kind of snacks?

How many time a week do you eat out? Where?

VITAL SIGNS: What is your height?

What is your current weight?

What is your GOAL weight?

RELATIONSHIP TO FOOD: Check all that apply:

What is driving you to prioritize your health right now? (Check all that apply)

ABOUT ME:

Hi, I’m Tori! I'm the heart behind The Nourished Life: Mind, Body, & Spirit.

As a Registered Nurse with over 25 years of experience in Women’s & Children’s Health and endocrine disorders, I’ve always been passionate about helping people take control of their health. But after 20 years at the hospital bedside, I realized that true wellness isn’t just about prescriptions and treatment—it’s about inspiring and empowering people to create sustainable, long-term health in a way that fits their REAL life.

My own journey of yo-yo dieting, endless cardio sessions, calorie counting, and "motivational self-loathing" was all I ever knew and I was miserable. My relationship with food was contentious and even though I was going to the gym regularly, I never saw much of a change on the scale. In fact, when I was training for a 10k, my body fat percentage went up, even with all the miles I was logging! I was frustrated, exhausted, and ready to learn a new way.

As a wife and busy mom of 2 sons with autism and other special needs, I know firsthand how challenging it can be to prioritize yourself when life is full of responsibilities, unexpected setbacks, and overwhelming emotions. It is easy to put ourselves (and our physical, mental, emotional, and spiritual needs) on the back burner while we fight through exhaustion, depletion, and burnout. We stop fighting for ourselves because we are too busy fighting, advocating, and serving everyone else around us. Sound familiar?

I was stuck in this cycle for years and have learned that when we NOURISH ourselves in mind, body & spirit, and when we open up to support, structure, and care, everything else benefits—our energy, our relationships, and our ability to show up more fully for the people we love.

When we no longer have to white knuckle it through cravings (I'll show you how), no longer need to make food the enemy (yes, that's possible!), no longer need to tolerate being "hangry", irritable, and exhausted all the time (again, I will show you how)-we can more fully step into a life of SUSTAINABLE health, well-being, and JOY!

Your Path to The Nourished Life: Mind, Body, & Spirit STARTS HERE.