Quiz

Step 1: Your Information

First Name

Email

Phone

Yes, I agree to receive SMS messages about my health assessment

Step 2: Health Questions

1. When you think about your blood sugar, what's your biggest frustration?
It spikes no matter what I eatI feel tired after mealsMy numbers are unpredictableI worry about the future

2. How would you describe your energy during the workday?
Steady and strongDips in the afternoonCrash after lunchRunning on empty by 3pm

3. What's your relationship with food like right now?
Balanced and peacefulI think about it too muchI feel guilty after eatingIt is a constant battle

4. How does stress show up in your body?
Tight shoulders and tensionStomach issuesPoor sleepAll of the above

5. When was the last time you woke up feeling truly rested?
This morningThis weekI cannot rememberWhat is rest?

6. How do you feel about your current health routine?
It is working wellSome parts workI am overwhelmedI do not have one

7. What's held you back from getting the health results you want?
Not enough timeConflicting adviceI start but cannot stay consistentI do not know where to start

8. How important is it for you to feel in control of your health?
SomewhatVeryIt is my top priorityI think about it daily

9. Who do you want to be healthier for?
MyselfMy familyMy careerAll of the above

10. If you could wave a magic wand, what would change about your health?
Steady energy all dayBetter sleepStable blood sugarConfidence in my body

11. How soon do you want to start seeing changes?
This weekThis monthIn the next 3 monthsI am just exploring