Wellness Scorecard
This free test will only take minutes.

Your answers will help you assess where you're at. To get the most accurate results, be honest with yourself and select the best answer for how you feel the majority of the time. There's no right or wrong answer. If you have any questions or need clarification, please email Coach@EfficiencyBook.com

Your results will be emailed to you as soon as you complete the Wellness Scorecard.
Email address *
First Name
Section 1: Mind, Body, Soul Connection
This first section will give a broad understanding of where you currently are and broaden your awareness. Our goal here is to get a better picture of who you are before getting deeper into the results depicted in your Biofeedback Analysis.
Mind: How would you rate your overall mental health? Depression, Anxiety, Stress, Memory ECT.
Extremely Unhealthy
Extremely Healthy
Clear selection
Body: How would you rate your overall physical health? Diet, exercise, disease ECT.
Extremely Unhealthy
Extremely Healthy
Clear selection
Soul: How would you rate your overall soul health? Your relationship with a higher power, God, the Source, Energy, Creator, the supernatural, ECT?
Extremely Unhealthy
Extremely Healthy
Clear selection
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy