Vibrant Health Assessment Quiz

Please answer the following questions truthfully.

0=Never

5=Regularly

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* 1. How frequently after eating do you feel sluggish, heavy or bloated?

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* 2. Do you find yourself worrying about things?

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* 3. Do you get colds easily or suffer from asthma or allergies?

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* 4. Are you dealing with unresolved grief that feels heavy or makes it hard to breath deeply?

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* 5. Do you feel fatigued, exhausted or notice a lower sex drive than usual?

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* 6. Are you stressed or anxious over work, personal or financial matters?

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* 7. Are you experiencing pain in your body, headaches or migraines?

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* 8. Are you feeling depressed, irritable or easily angered?

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* 9. Do you experience heart palpitations, a racing heart or a rapid pulse without exertion?

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* 10. Are you feeling extra sensitive, or emotional? Crying more easily?

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* 11. Thank you for taking the Vibrant Health Assessment. You are one step closer to living Vibrantly. So that I may personally deliver your results to you, please complete the information below.

First Name

Phone Number

Email Address