Note: To get the most accurate results possible be as honest with your responses as you can.

How often do you move your body in a purposeful way? *

Daily, and I love it

A few times a week

Only when I “have to”

Rarely or never

What’s your nutrition routine like? *

I eat whole, organic foods

I try to eat healthy but it’s inconsistent

I mostly eat what’s convenient

What’s a “macronutrient”? 😅

How’s your hydration? *

I track my water daily

I drink when I remember

Does coffee count?

Not good at all

What’s your biggest challenge with your mind? *

Overthinking or anxiety

Negative self-talk or low confidence

Lack of clarity or purpose

My mind is sharp and focused

How do you sleep? *

I sleep 7-9 hrs and feel rested

I wake up tired

I have trouble falling or staying asleep

I’m up all night and crash during the day

How do you feel in your relationships? *

Deep, connected and supported

Emotionally drained

Surrounded by negativity

I isolate myself a lot

How much time do you spend in nature weekly? *

Every day sun, air, earth, all of it

Once or twice a week

Barely I'm indoors a lot

I don’t remember the last time

Do you feel aligned with your life purpose? *

Fully living it daily

I have a clue, but not clear

I feel disconnected or stuck

I don’t know what my purpose is

Awesome you're done!

(See the results on the next page)

Where should we send your personalized vitality assessment results?

Full Name *

Phone *

Email *

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