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Salvere Holistic Wellness Assessment

Welcome to your Salvere wellness snapshot. This assessment is designed to help you identify which areas of your lifestyle and wellbeing may need the most attention.

It is designed for wellness education and self-awareness. It is not a medical diagnosis and does not replace professional medical advice, testing, or treatment.

Let’s begin.

1. How do you feel when you wake up?

*

A

Fully rested

B

Slightly tired

C

Tired most mornings

D

Exhausted no matter what

2. How is your energy during the day?

*

A

Stable

B

Slight dips

C

Noticeable crashes

D

Constant fatigue

3. How would you describe your focus?

*

A

Sharp

B

Slightly distracted

C

Often struggle

D

Mentally slow/foggy

4. How is your sleep quality?

*

A

Deep and restful

B

Light but okay

C

Interrupted

D

Poor most nights

5. Do you experience hormonal symptoms?

*

A

None

B

Occasional

C

Frequent

D

Severe/disruptive

6. How does your body respond to food?

*

A

No issues

B

Occasional bloating

C

Frequent discomfort

D

Daily bloating/gas

7. How has your weight been recently?

*

A

Stable

B

Slight fluctuations

C

Unexplained gain

D

Persistent gain

8. How often do you feel stressed?

*

A

Rarely

B

Sometimes

C

Often

D

Constantly overwhelmed

9. How often do you feel inflamed or get sick?

*

A

Rarely

B

Occasionally

C

Frequently

D

Constant issues

10. How do you feel after meals?

*

A

Energized

B

Slightly tired

C

Sluggish

D

Very tired/bloated

11. How often do you experience mental fog?

*

A

Rarely

B

Occasionally

C

Frequently

D

Almost daily

12. How do you perform during demanding tasks?

*

A

Clear

B

Slight dips

C

Noticeable difficulty

D

Easily overwhelmed

13. How long does it take you to fall asleep?

*

A

Less than 15 minutes

B

15–30 minutes

C

30–60 minutes

D

60+ minutes

14. What happens during your sleep?

*

A

Sleep through

B

Wake once

C

Wake multiple times

D

Frequent waking

Contact Information

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