Discover Your Optimal Health Score

What happens next?

✅ Complete 9 quick questions about your health
✅ Receive your personalized health score instantly
✅ Get custom recommendations based on YOUR specific needs
✅ Learn how X39 can address your unique health goals

Take this quick assessment to see where you stand on your journey to complete physical, mental, and social well-being.

Understanding Age and Cellular Health

As we age, our body's active stem cells naturally decline, which impacts our ability to regenerate and maintain optimal health:

By age 40: ~50% of stem cells become dormant
By age 50: ~60% dormancy
By age 60: ~75% dormancy

This decline affects strength, energy, recovery, inflammation response, and overall vitality. Understanding where you are in this process can help you take proactive steps toward better health.

First Name

Last Name

Phone *

Email *

Your Health Assessment. Please rate each area on a scale of 1-5, where:

1 = Needs significant improvement 2 = Below average

3 = Moderate/Average 4 = Good 5 = Excellent

PHYSICAL HEALTH

How would you rate your current strength levels? (1-5 scale) *

Physical Health

How would you describe your inflammation levels (joint pain, swelling, general discomfort)? (1-5 scale) *

Physical Health

How is your stamina & endurance during physical activities? (1-5 scale) *

Physical Health

How would you rate your overall energy and vitality throughout the day? (1-5 scale) *

Physical Health

MENTAL AND COGNITIVE HEALTH

How clear and focused is your thinking on a typical day? (1-5 scale) *

Mental Health

SLEEP QUALITY:

Optimal sleep consists of 7-8 hours of quality sleep per night, allowing you to wake up feeling refreshed and alert.

Sleep Health: How would you rate the overall quality of your sleep? (1-5 scale) *

Sleep Health

PHYSICAL CONDITIONS:

If you have any muscle or skeletal conditions, how well-managed are they currently? (1-5 scale, or N/A if not applicable) *

Physical Condition - musclular/skeletal

SKIN HEALTH AND APPEARANCE:

Overall Appearance: How satisfied are you with your skin's health and appearance? (1-5 scale) *

Skin Health and Apperance

FINAL QUESTION

Overall, how close do you feel to achieving complete physical, mental, and social well-being? (1-5 scale) *

Final Question - Overall Wellbeing

By submitting this form, you'll receive your personalized health score and recommendations to help you achieve optimal health.

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✅ Instant results - Delivered to your inbox in seconds
📞 No obligation - Free assessment, no purchase required

705-761-3256 www.innatevitality.ca