Personalized Wellness Quiz
Sit back and allow our team to tailor a wellness plan specifically for your lifestyle and health goals.
Help our team create a personalized wellness plan by answering a few quick questions. First tell us your typical food diet: *
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When you sit down to eat, what are your portion sizes like? *
How many fruits & vegetables do you eat per day? (Select All That Apply) *
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Protein is SO IMPORTANT, which of these do you eat at LEAST 3 times per week? (Select All That Apply) *
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When it comes to snacking, what do you normally reach for? (Select All That Apply) *
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Which of these do you drink at least 5 days out of the week? (Select All That Apply) *
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How much water do you drink a day? *
How do you usually feel? (Select All That Apply) *
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Your typical day includes: (Select All That Apply) *
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How do you usually unwind? What are your hobbies? (Select All That Apply) *
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What would you like to improve about your health? (Select All That Apply) *
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What are some of your skin concerns? (Select All That Apply) *
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What are other concerns you have with your body? (Select All That Apply) *
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What age range do you fall within? *
Gender? *
Do you have anything else you would like us to be aware of, or consider, when creating your wellness plan?
Contact Information
Please provide your contact information on the next prompts so a member of our wellness team can reach out with your personalized wellness plan recommendations.
First and Last Name *
Email Address *
Phone Number *
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