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Holistic Wellness Assessment Form
Give yourself 15-20 min to complete.
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How often do your exercise?
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How often do your exercise?
1 day/wk
2 days/wk
3 days/wk
4 days/wk
5 days/wk
6 days/wk
7 days/wk
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How would you describe your general stress level?
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How would you describe your general stress level?
Light
Moderate
Semi-Extreme
Extreme
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Which statement describes you best?
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Which statement describes you best?
I've never had a problem with my weight
I used to maintain my desired weight easily, but now I struggle
I have always struggled to maintain my desired weight
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(Only for Supercharge your Superhuman participants) Upload 'Before' Pic(s)
Click to choose a file or drag here
Size limit: 10 MB
Submit