Answer each question as intuitive as you can (without much thought). There is no right or wrong answers. After you click on the answer the next question will appear!
What is your approximate age?
17-29
30-39
40-49
50-59
60-69
70 and better!
How physically active are you?
Very! I try to make time to sweat every day.
Quite active. I get a good workout 3-5 times a week.
Minimally. I just can’t seem to make it happen.
Pass me the remote control and I break a sweat.
How would you describe your general immunity? (Catching colds, flus, etc.)
I’ve got a bug and bacteria-proof immune system.
I rarely get sick, but it can happen once in a while.
I seem to catch what’s going around more often than I’d like
I struggle with chronic illness.
Which of the following health issues concerns you MOST?
Hormones.
Sleep issues.
Weight and food or diet-related issues.
Mental health, moods, emotions, or memory.
Allergies or environmental sensitivities.
Low energy, fatigue.
Cancer, diabetes or other chronic illnesses.
Skin problems.
None of the above.
How many hours of high quality sleep do you average per night?
7-8 or more!
Between 5-7
Between 3-5
Less than 3.
Insomnia is a real problem for me.
Do what degree do you struggle with aches, pains and unwanted body conditions?
Nothing bothering me! :-)
I rarely have any aches or pains.
I have more discomforts than I'd like, to be honest.
I constantly seem to be struggling with something!
How would you describe your general attitude toward life?
Fan-freakin' tastic!
Life is pretty good, overall.
I find life frustrating and difficult.
*sigh*
How would you describe your ability to bounce back after difficult circumstances?
I'm back up and at 'em in no time!
I usually move on after some time and space to reflect.
I struggle to let go of the past.
Grrrr.... *sniff* *sob, sob*
Which of the following best describes your decision making abilities?
I karate chop indecision like a boss!
I'm pretty good, but I like to take my time to think about things before I act.
I struggle with decision making.
Hmmmm. I'm not sure how to answer this question.
How would you describe the state of your personal belongings?
Excellent condition.
Pretty good, but some things are neglected.
I seem to be surrounded by things that need fixing.
I don't have many possessions.
Which of the following best describes your time management skills.
I try and make the most of every minute.
I try and keep up, but always feel chased by the clock.
I feel totally out of control with time management.
I have so much time I don't know what to do with myself.
How would you describe your self-care practices?
I treat myself like a queen, and make time for my self-care every day.
I try to look after myself, and manage a few times a week.
I barely seem to make time to floss my teeth, nevermind a relaxing bath.
What kind of personal care products do you use?
I am a puritan. Natural soap and water. That's it.
I only use body care products that are completely natural and handmade by myself, or someone I trust.
Whatever I get from the health food store is good for me.
I use conventional drug store brand toothpastes, shampoos and make-up.
What kind of cleaning products do you use in your home?
Baking soda, vinegar and essential oils.
The greenest stuff I can find at the grocery store.
Mr. Clean and Windex kill bacteria dead. I don't trust that "natural" stuff.
Are there any significant relationships causing you concern at the moment?
Heck Ya! I get all red in the face just thinking about it!
There are a few people that cause me grief.
Peace, love and harmony surround me.
How do you feel about the quality of your communication with others?
Great! I enjoy most of my relationships very much!
Pretty good.
It seems most of my conversations end up in arguments.
I tend to avoid confrontation or difficult situations with others.
I struggle to communicate meaningful with others.
Have you experienced significant loss which still takes up your attention?
No, thankfully.
I've had losses, but picked myself up.
Yes, there are some losses that still take up my attention.
Big ones. I'm still stuck.
Please describe where you would like your health and attitude toward life to be in the next 12 months? *
What do you perceive will be your biggest obstacles in getting there? *
What will happen if you do not make any changes to your health or lifestyle? *
If you could wave a magic wand and change one thing about your body or your health, what would that be? *
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