Intuitive Survey

(1 = Never), (2 = Occasionally), (3 = Often), (4 = Very Often), (5 = Always)

Name

First Last

I feel happy

I feel anxious

I feel confident

I feel tired throughout the day

I can focus without difficulty

I exercise 120-150 minutes per week

I sleep at least 7-8 hours nightly

I choose foods to optimize my health and prevent disease

I am aware of how different foods make me feel

I feel hopeful for the future

I can physically tell when I am tense or stressed

I seek and practice stress reducing activities

I have positive social connections and relationships

Our Vision: Ignite the Purpose of One to transform the Well-Being of Many

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