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The main reason for me sharing my story with you is to see if you and I might be on the same page regarding the legacy we want to build for our family.

I’ve realized that living a healthy life can mean so many different things and I want my son and daughter to know and embrace a healthy life on all levels.

Please take the health survey below and let’s see how you feel about your health. Maybe you’ll see that we’re on the same path. My hope is that the path includes making some changes for the ones we love most. After you fill it out, please submit the form and let’s talk. My goal is to change my legacy and, if needed, help you change yours too.

Take The First Step Towards Health

 

Health Assessment Form

  • Rate yourself for each category using the
    rating system below to score yourself.

    0 to 3: Low energy, feeling overwhelmed, not functioning well, poor food choices, frequent use of stimulants.

    4 to 7: Feeling/performing OK; some healthy choices, room to improve, some use of stimulants.

    8 to 10: Feeling/performing well, making healthy choices, steady improvement, no use of stimulants.







  • Vitality Indicator

  • Please enter a value between 1 and 10.
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    (Based on the number of cups per day – the more you drink the lower your score)