UA-87706652-1

Optimal Wellness Quiz


Are you doing everything you could be doing to attain your highest level of wellness?

Please answer the following questions with a number in the box below each question.

(Look for an email from me within 3 business days with any suggestions I might have for you.)

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1. It's very important to me to reverse chronic health conditions and improve my level of wellness (or that of a loved one).

Not important                                                                                               Very important

0            1            2            3            4            5            6            7            8            9            10

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2. I'm confident that I can make the changes I need to improve my health.

Not confident                                                                                                 Very confident

0            1            2            3            4            5            6            7            8            9            10

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3. On average, I get X (number of) hours of sleep most nights.

0            1            2            3            4            5            6            7            8            9            10+

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4. Generally, I have no trouble falling asleep or staying asleep.

Lots of trouble                                                                                                     No trouble

0            1            2            3            4            5            6            7            8            9            10

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5. My day contains lots of physical activity (or is mostly sitting).

Mostly sitting                                                                                   Lots of physical activity

0            1            2            3            4            5            6            7            8            9            10

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6. I engage in physical activity X hours a week. (Add up all the hours of all the different forms of physical activity you engage in.)

0            1            2            3            4            5            6             7            8            9            10+

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7. The main focus of my meals is plants (fruit, vegetables, nuts, seeds, beans, whole grains) or animals (meat, poultry, fish, dairy, eggs).

Animals                                                                                                                         Plants

0            1            2            3            4            5            6            7            8            9             10

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8. On average, I eat X (number of) servings of fruits and vegetables a day.

0            1            2            3            4            5            6             7            8            9            10+

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9. On average, I eat X (number of) servings of meat, poultry, or fish every day.

0            1            2            3            4            5             6            7            8             9            10+

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10. On average, I eat X (number of) servings of dairy or egg products every day.

0            1            2            3            4              5            6           7            8             9            10+

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11. On average, I eat X (number of) servings of breads, grains, pasta, or bakery goods every day.

0            1            2            3            4            5            6             7            8            9             10+

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12. On average, I drink X (number of) glasses of water every day. (Don't include sodas or caffeinated beverages.)

0            1            2            3            4            5            6             7            8            9             10+

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13. In a typical week, I eat X (number of) meal-sized salads or green smoothies.

0            1            2            3            4            5            6            7            8            9             10+

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14. I eat fruits, vegetables, nuts, and seeds as snacks.

Never                                                                                                                             Always

0            1            2            3            4             5            6             7            8            9            10

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15. I buy organic food whenever possible.

Never                                                                                                                             Always

0            1            2            3            4            5            6            7             8            9             10

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16. I eat out, or get take out, X (number of) times a week.

0            1            2            3            4            5            6            7            8            9             10+

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17. I prepare meals and snacks at home using fresh, whole, natural ingredients X (number of) times a week.

0            1            2            3            4            5            6             7            8            9            10+

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18. On average, the amount of whole, unprocessed foods I eat is X percent of my diet. (Whole and unprocessed means foods that grow, not foods that come from factories).

0%       10%       20%       30%       40%       50%       60%       70%       80%       90%       100%

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19. I take X (number of) different supplements daily.

0            1            2            3            4            5            6            7            8            9            10+

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20. I do X (number of) specific things daily to manage stress.

0            1            2            3            4            5            6            7            8            9            10+

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21. I take X (number of) short rests or exercise breaks during the day.

0            1            2            3            4            5            6            7            8            9            10+

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22. I do X (number of) practices daily to manage my thoughts.

0            1            2            3            4            5            6            7            8            9            10+

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23. I use non-toxic personal care products and cosmetics.

Never                                                                                                                           Always

0            1            2            3            4            5            6            7            8            9            10

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24. I use non-toxic products in my home, yard, cars, and garage.

Never                                                                                                                           Always

0            1            2            3            4            5            6            7            8            9            10

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25. I do specific things to flush toxins out of my body.

Never                                                                                                                    Frequently

0            1            2            3            4            5            6            7            8            9            10

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26. I regularly take X (number of) different prescription drugs or over-the-counter medications.

0            1            2            3            4            5            6            7            8            9            10+

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27. I take steps to improve the quality of the air that I breathe.

Never                                                                                                                     Frequently

0            1            2            3            4            5            6            7            8            9            10

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28. My genes determine my health. (or) My health is determined by what I eat, how I live, and my exposure to environmental toxins.

Genes                                                                                      Food, lifestyle, environment

0            1            2            3            4            5            6            7            8            9            10

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29. I want quick relief, even if it's temporary. (or) I'm willing to wait for relief if it means that the solution is permanent.

Quick and temporary                                                                         Slow and permanent

0            1            2            3            4            5            6            7            8            9            10

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30. I like to take as few medicines as possible. (or) I'm okay with taking medicines, even if it's long-term.

Okay with meds                                                                                           Prefer no meds

0            1            2            3            4            5            6            7            8            9            10

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31. I'm willing to be a rebel and go in a different direction than most people if there's a positive pay-off for doing so.

I like to go along with the crowd                                                                        I'm a rebel

0            1            2            3            4            5            6            7            8            9            10

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32. I can learn and do what I need to do to up-level my wellness.

Learning is boring and difficult                                                I love learning new things

0            1            2            3            4            5            6            7            8            9            10

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33. I have the personal strengths and resources that I can call upon to help me succeed.

None                                                                                  Lots of strengths and resources

0            1            2            3            4            5            6            7            8            9            10