Healthy Living Survey
Exit this survey

1. What kinds of things would you like to work on around your health?

If something is not listed, add it at the end!

What kinds of things would you like to work on around your health? *If something is not listed, add it at the end!* Improve my mental focus and concentration

Respond with calm and control toward my children

Start cooking more and eating out less

Feel more in control of my moods

Have less painful periods

Feel less stress and overwhelm

Deal with intense food cravings

Gain energy

Lose weight

Learn ways to eat healthier

Have better digestion

Have more restful sleep

Reduce feelings of irritation and anger

Other (please specify)

2. What things prevent you from taking great care of yourself?

What things prevent you from taking great care of yourself? I have a feeling getting healthy will mean I can't indulge and enjoy food any longer

Time...I don't know where I'd find the time in my life

I'm exhausted and overwhelmed...hard to put one more thing on my plate

I can't seem to get off the dieting yo-yo cycle

I'm confused about what health advice to follow

I have a feeling getting healthy will be too hard

I just don't know where to start

I have good intentions, but haven't found ways to work healthy systems into my life

I feel guilty for focusing on my needs

I feel addicted to sugar or junk food and can't control myself

Other (please specify)

Healthy Living SurveyExit this survey

1. What kinds of things would you like to work on around your health? *If something is not listed, add it at the end!*

2. What things prevent you from taking great care of yourself?

Healthy Living Survey
Exit this survey

1. What kinds of things would you like to work on around your health?

If something is not listed, add it at the end!