1 of 10 - My performance is about the same as it was 10 years ago. *

Not at all

Slightly

Mostly

Fully

2 of 10 - My energy levels stay steady throughout the day, without any sudden drops. *

Not at all

Slightly

Mostly

Fully

3 of 10 - I feel consistently motivated and driven. *

Not at all

Slightly

Mostly

Fully

4 of 10 - I can stay focused and mentally alert for long periods. *

Not at all

Slightly

Mostly

Fully

5 of 10 - I feel emotionally balanced and resilient, without being easily thrown off or overwhelmed. *

Not at all

Slightly

Mostly

Fully

6 of 10 - I recover quickly after stress or physical activity. *

Not at all

Slightly

Mostly

Fully

7 of 10 - I wake up feeling refreshed, clear-headed and ready to take on the day. *

Not at all

Slightly

Mostly

Fully

8 of 10 - My thoughts are generally positive. *

Not at all

Slightly

Mostly

Fully

9 of 10 - I have clear goals in life. *

Not at all

Slightly

Mostly

Fully

10 of 10 - I feel completely myself – grounded, clear-minded and confident. *

Not at all

Slightly

Mostly

Fully

Full Name *

Email Address *

Phone Number