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(Asessment) Wellness | Walk It Free™

There are no perfect answers. Just answer honestly based on where you are right now.

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HOW ARE YOU FEELING RIGHT NOW?

Take a moment to check in with yourself.

Question 2 of 14

Which areas are you currently struggling with?

(Select all that apply)
A

Low energy

B

Feeling tired even after sleeping

C

Difficulty sleeping

D

Stress or feeling overwhelmed

E

Emotional or stress eating

F

Cravings

G

Bloating or digestive discomfort

H

Weight that has been difficult to manage

I

Difficulty staying consistent

J

Not exercising or moving as much as I'd like

K

Feeling like I've stopped taking care of myself

L

Going through hormonal or life changes

M

I don't feel like myself anymore

N

Something else

YOUR DAILY LIFE

Take a closer look at how your days really feel.

Question 4 of 14

How would you describe your energy on most days?

A

I feel good most of the day

B

I have energy, but I crash at certain times

C

I'm tired more often than I'd like

D

I'm exhausted most days

E

My energy is very unpredictable

F

My energy is very unpredictable

Question 5 of 14

How would you describe your current eating habits?

A

I feel good about the way I eat

B

I eat fairly well but struggle with consistency

C

I know what to do, but life gets in the way

D

I often skip meals or grab whatever is easies

E

I struggle with cravings or emotional/stress eating

F

I'm confused about what I should be eating

Question 6 of 14

How are you currently moving your body?

A

I exercise or intentionally move most days

B

A few times per week

C

Occasionally

D

Very little right now

E

Pain, limitations, or another concern makes movement difficult

Question 7 of 14

How would you describe your sleep?

A

I usually sleep well and wake rested

B

I sleep enough but don't always feel rested

C

I have trouble falling asleep

D

I wake frequently

E

I don't get enough sleep

F

My sleep varies a lot

Question 8 of 14

How would you describe your current stress level? [Scale 1–5]

A

1 — Low

B

2 — Manageable

C

3 — I'm carrying quite a bit

D

4 — High

E

5 — I feel overwhelmed most of the time

WHAT HAVE YOU ALREADY TRIED?

Reflect on what you’ve tried and what still feels unresolved.

Question 10 of 14

What have you tried in the past to improve your health or wellness? Choose all that apply

(Select all that apply)
A

Diet or nutrition programs

B

Exercise programs

C

Calorie or food tracking

D

Supplements

E

Wellness products

F

Working with a coach

G

Working with a dietitian/nutrition professional

H

Stress-management techniques

I

Meditation or nervous-system regulation practices

J

Weight-loss programs

K

I haven't really tried anything consistently yet

L

Other

Question 11 of 14

Are you currently taking supplements or wellness products?

A

Yes

B

No

C

Sometimes

WHAT DO YOU WANT TO CHANGE?

Think about what you’d most like to feel different.

Question 13 of 14

If we could improve ONE thing first, what would make the biggest difference in your life?

Question 14 of 14

What would you most like help with?

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