Lifestyle Questionnaire
Answer the questions below to create an overview of your current lifestyle and find out whether it is promoting or hindering your health and wellbeing.
See how many points your score out of 30. The more points, the healthier your lifestyle is.
Julien will get back to you within 48 hours (via the email address provided) with your score and some feedback.
Sign in to Google to save your progress. Learn more
Email *
What is your name? *
How many hours of sleep do you get at night ? *
How much water do you drink throughout the day (do not include any other drink)? *
How much time do you spend outside during the day *
How much time do you spend exercising weekly? *
How often do you consume alcohol weekly ? *
How much time do you spend with your loved ones on a daily basis (that includes: family, friends, and even pets!) *
How many different fruits and vegetables do you eat daily? *
How many of your daily meals are home cooked from scratch? *
How many times per week do you eat meat or animal products? *
How many times a week do you consume deep fried food (i.e: fish & chips, onion Bajis, fried chicken) *
In your opinion, what has, in the past, prevented you from sticking to your resolutions and improving your health and fitness?
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