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Vitality and Performance Assessment

Who is this for? This assessment is designed for high-achieving, successful business professionals in midlife who are interested in investing in their vitality so that they can enjoy the life they are building.
What to expect. This assessment is designed to provide a comprehensive view of the factors currently affecting your health, energy, stress resilience, mental clarity, and overall performance. Your responses will help identify the habits, patterns, and priorities most relevant to your current season of life so that we can build a personalized strategy focused on improving vitality, strengthening resilience, and creating sustainable change in the areas that matter most. After completing this assessment, Dr. Erica will meet with you to review your results.

Personal Information

Full Name

Preferred Name

Date of Birth

Age

Phone Number

Email

City and State of Residence

Professional Context

Occupation/Industry

How would you describe your typical work schedule?

How would you describe your typical work schedule?

How many hour per week do you work?

Which best describes your work setting?

Which best describes your work setting?

What does a typical work day look like for you?

Home and Life Context

Relationship Status

Do you have children or caregiving responsibilities that significantly affect your schedule, energy, or routines?

Communication and Logistics

Which method do you prefer for strategy calls?

Which method do you prefer for strategy calls?

Which are your preferred methods of communication between strategy calls?

Which are your preferred methods of communication between strategy calls?

What are generally the best times for strategy calls or check-ins?