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π§ Body Compass Assessment Form
π― SECTION 1/6 - YOUR HEALTH GOALS
What is your
SINGLE
biggest health concern right now?
*
And, how big is its impact on your daily life (1-10)
*
And, how big is its impact on your daily life (1-10)
0
1
2
3
4
5
6
7
8
9
10
What is your SECOND biggest health concern right now?
*
And, how big is its impact on your daily life (1-10)
*
And, how big is its impact on your daily life (1-10)
0
1
2
3
4
5
6
7
8
9
10
What is your
THIRD
biggest health concern right now?
*
And, how big is its impact on your daily life (1-10)
*
And, how big is its impact on your daily life (1-10)
0
1
2
3
4
5
6
7
8
9
10
When did you last feel
truly well
?
*
What consistently makes you feel
worse
?
*
What consistently makes you feel
better
?
*
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