The Modern Lifestyle Assessment: Understanding Your Pet’s Connection to Natural Living

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Discover where modern life may be impacting your pet’s wellbeing—and simple ways to bring more balance back.

If your pet has recurring health issues, behavioral problems, or anxiety that won’t resolve—you’re not alone, and you’re not imagining it.

Here’s what most assessments miss:
Modern life—even with the best intentions—can create distance from what our pets (and we) need to thrive. Long work hours, urban living, processed convenience foods, indoor lifestyles… these aren’t failures. They’re just the reality of modern life.

This assessment helps you understand:
∙ Which aspects of modern living may be affecting your pet’s health
∙ How significant the impact might be
∙ Where small changes could make the biggest difference

This takes 5-10 minutes. Your personalized results and reconnection roadmap will be sent to your email immediately.

Email *

First Name *

Pet's Name *

Species *

Pet's Age *

Part 1: Nutrition & Feeding

Understanding your pet’s current diet and eating patterns

Check all that apply:
*

9 points

Fed primarily commercial kibble

Diet includes grains or high carbohydrate content

Foods contain artificial preservatives, colors, or flavors

Food utilizes by-products or meals as protein sources

Feeding schedule varies day to day

Diet has changed frequently in past 6 months

No whole food additions (bone broth, fresh foods, etc.)

Relies primarily on synthetic vitamin supplements

Eats mostly processed treats

None of the above

Required

Part 2: Environment & Daily Life

Understanding your pet’s living environment and daily rhythms

Check all that apply for all pets:
*

7 points

Lives primarily indoors with limited outdoor time

Little to no direct earth contact (mostly on carpet/concrete)

Limited exposure to natural daylight cycles

Daily schedule varies significantly

Busy household with frequent activity/noise

Alone for 6+ hours on most days

No designated quiet space for rest

None of the above

Required

For dogs specifically:

3 points

Walks are always on-leash with limited free exploration

Activity level doesn’t match breed needs

Limited opportunities for mental stimulation (puzzles, training, “jobs”)

None of the above

For cats specifically:

3 points

No elevated spaces (cat trees, shelves, perches)

Multi-cat home with limited resources (one litter box, one food station, few hiding spots)

Limited interactive play or hunting-style activities

None of the above

Part 3: Early Life Experiences

Understanding your pet’s background

Check all that apply:
*

7 points

Commercial breeding background (pet store, puppy/kitten mill/backyard breeder, etc)

Rescued from a hoarding situation

Rescue/shelter with unknown early history

Limited socialization during puppyhood/kittenhood

Multiple homes before age 1

Early life trauma or neglect

Spayed or neutered

None of the above

Required

Part 4: Physical Health Challenges

Current or recurring health concerns

Check all that apply:
*

9 points

Recurring ear infections

Ongoing skin issues (itching, hot spots, allergies)

Urinary or bladder concerns

Digestive sensitivities (vomiting, diarrhea, food reactions)

Dental issues

Joint discomfort or mobility challenges

Slow healing

Frequent minor illnesses

On long-term medications

None of the above

Required

Part 5: Emotional Wellbeing

Understanding your pet’s sense of safety and comfort

Check all that apply:
*

8 points

Known difficult past experiences

Negative encounter with another animal

Stressful medical experiences

Frequently scans surroundings (seems on alert)

Startles easily at sounds or movements

Shows fear or defensive behavior in certain situations

Prefers hiding or avoiding interaction

Has difficulty fully relaxing

None of the above

Required

Part 6: Your Wellbeing

Understanding your own rhythms and stress

(Remember: Your pet’s nervous system syncs with yours—your wellbeing matters too)

Check all that apply:
*

8 points

Spend most time indoors

Eat primarily convenient/processed foods

Limited exposure to natural light

Experience ongoing stress or worry

Sleep quality could be better

Rarely have direct earth contact (always in shoes, mostly indoors or on concrete)

Schedule feels unpredictable or overwhelming

Feel disconnected from community or support

None of the above

Required

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms