Personal Health · Not Work-Related

Personal Health Assessment

Just want to know where your personal health stands? Movement, nutrition, sleep, stress — get your score and a custom plan.

PERSONAL HEALTH ASSESSMENT — 12 QUESTIONS

Full Name *

Phone *

Name of Your company *

Email *

Q1 - How many hours a day do you spend sitting? *

Q2 - How often do you exercise or intentionally move your body each week? *

Q3 - How would you describe your daily activity level? *

Very active

Somewhat active

Mostly sedentary

Q4 - How would you rate your nutrition most days? *

Q5 - How often do you drink water throughout the day? *

Q6 - How many hours of sleep do you usually get per night? *

7–9 hours, feel rested

5–6 hours or hit-or-miss

Less than 5 or poor quality

Q7 - How well do you manage stress? *

Q8 - How often do you do intentional self-care? *

Q9 - How strong and capable does your body feel for daily tasks? *

Strong and capable most days

Okay but notice stiffness

Often weak, stiff, or limited

Q10 - How consistent are you with healthy habits over a full month? *

Q11 - Do you feel supported by your environment in being healthy? *

Q12 - How ready are you to make real changes to your health right now? *

Very ready and committed

Interested but hesitant

Not really ready yet