GAUYAFIT LIFESTYLE FITNESS ASSESSMENT Survey

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* 1. Let me get to know you

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. I am doing exactly what I want to be doing at this time in my life.

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* 3. I like my current work and life outside of work balance

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* 4. I have exciting dreams and goals to look forward to

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* 5. I am self-aware and enjoy living in the moment (I don't dwell on the past or the future).

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* 6. I feel a strong sense of purpose in my life

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* 7. I am in control of most things in my life

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* 8. Humor, laughter and playfulness are part of my daily life

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* 9. I live my life with passion and joy

Never feel this way

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* 10. I am an optimistic person.

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* 11. I feel like my life is in balance physically, mentally, emotionally and spiritually.

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* 12. When my life feels, "out of control" or overly stressful, I choose healthy behaviors to help me re-center, relax and renew

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* 13. I find positive ways to deal with stress (e.g., exercise, meditation, yoga, spending time in nature or other stress-reducing practices).

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* 14. I exercise appropriate actions over the things that I can control in my life.

Never feel this way

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* 15. I easily accept the things that are outside of my control.

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Always fee this way

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* 16. Negative stress and over-whelm are problems for me.

Never feel this way

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* 17. I am the Captain of my ship. I know that I am responsible for my own happiness and well-being.

Never feel this way

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* 18. I am physically able to do everything I want to do in my life.

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* 19. I exercise at least five days a week on a regular basis

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* 20. I eat a healthy, balanced diet made up of mostly unprocessed healthy foods (e.g., vegetables, fruits, high-fiber whole grains and carbohydrates, healthy fats and high-quality protein).

Never feel this way

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* 21. I drink at least 8 x 8 oz. glasses of plain water most days.

Never feel this way

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* 22. I feel like I am at my ideal weight.

Never feel this way

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* 23. I have plenty of energy to get myself through the day and do the activities that I want to do with ease.

Never feel this way

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* 24. My digestion and gut health rarely give me trouble.

Never feel this way

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* 25. I sleep 6-8 hours most nights.

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* 26. I have health challenges that impact my lifestyle significantly (e.g., high BP, diabetes, anxiety/depression, sleep apnea, high cholesterol or triglycerides, orthopedic issues, chronic headaches or pain).

Never feel this way

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* 27. I have plenty of support and accountability to help me reach my health-, fitness- and wellness goals.

Never feel this way

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* 28. I have faith in a Higher Power that sustains me.

Never feel this way

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* 29. My significant other/spouse/partner always has my best interests in mind and wants to see me evolve, grow and learn new skill, habits and become my BEST self.

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* 30. My close friends and family always have my best interests in mind and want to see me evolve, grow and learn new skills and habits.

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