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The main purpose of sharing my story with you is to see if you and I might be on the same path regarding our fitness, nutrition and overall health. I realized that it was time I had to change my family legacy. I have a legacy that I want my children to have and it is one that involves a long and healthy life.

Please take the health survey below and see how you feel about your general health. Maybe you’ll see that we are on the same journey. My hope is that the path includes making some changes for yourself first and for those we love most.

After you fill it out, please submit the form and let’s talk more. I’m here to help change my legacy and, if needed, help you change yours too.

Take The First Step Towards Health

 

Health Assessment Form

  • Health Assessment Form

  • Rate yourself for each category using the rating system below to score yourself.

    0 to 3: Low energy, feeling overwhelmed, not functioning well, poor food choices, frequent use of stimulants.

    4 to 7: Feeling/performing OK; some healthy choices, room to improve, some use of stimulants.

    8 to 10: Feeling/performing well, making healthy choices, steady improvement, no use of stimulants.

  • Vitality Indicator

  • Please enter a value between 1 and 10.
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    (Based on the number of cups per day - the more you drink the lower your score)