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Living Well Self-Assessment
1.
How important do you consider physical exercise in achieving overall wellbeing?
Very important
Important
Neutral
Not very important
Not important at all
2.
How important do you consider mental health in achieving overall wellbeing?
Very important
Important
Neutral
Not very important
Not important at all
3.
Do you currently have a foundation for your health (e.g. regular exercise, balanced diet, sufficient sleep)?
Yes
No
4.
What are your current health goals and plans? (Please describe)
5.
What sustainable habits have you developed to enhance your physical and mental wellbeing?
6.
Do you have a solid a.m. routine?
Yes
No
7.
What strategies do you use to foster a positive mindset in your daily life?
8.
Have you integrated an effective system for managing your physical and mental health? If so, please describe.
9.
How do you stay motivated and resilient in the face of challenges?
10.
How well do you acknowledge your progress and direction in your self-improvement journey? (1 being not well at all, 10 being very well)
1
2
3
4
5
6
7
8
9
10
11.
Are you interested in mind and body wellness programs and products?
Yes
No
12.
Are you considering hiring a coach to support your mind and body wellness journey?
Yes
No
13.
Do you have a solid p.m. routine?
Yes
No
14.
Are you ready to start living well?
Yes
No
15.
Which area do you feel you need more support in?
Spiritual
Physical
Mental
