First Name
*
Date of birth
*
Email (One you can check)
*
Ok - Let's get started!
I eat a healthy, nutrient-rich diet that’s high in whole foods and low in ultra-processed foods.
*
Strongly disagree
Disagree
Neither Agree nor disagree
Agree
Strongly Agree
I’m mindful of my portions. I eat when I’m hungry and stop when I’m full. I avoid snacking between meals.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I use micronutrient and macronutrient supplements to ensure my nutritional needs are met
*
Strongly disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
I’m free from digestive discomfort.
*
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
I don’t struggle with food sensitivities
*
Strongly disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly agree
I make sure to include prebiotic and probiotic foods in my diet at least weekly.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I’m physically active, getting at least two hours of moderately intense activity or an hour of vigorous activity per week.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
I do at least two days of muscle strengthening per week.
*
Strongly disagree
Disagree
Neither agree nor diagree
Agree
Strongly agree
I give myself time to rest and recover from activities, including gentle stretching and/or healing techniques to support the recovery process
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
I have good energy during the day. I don’t suffer from brain fog or sugar cravings or need caffeine or energy drinks.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
I use smart supplementation to complement targeted metabolic health effects
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I stay satiated/satisfied for hours after eating.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I’m routinely getting enough sleep to feel rested and alert the next day.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I have good sleep hygiene practices.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I’m familiar with and use smart supplementation to help on days when sleep is challenging.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I know my main sources of stress and have adequate resources to manage them
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I have self-care strategies to help manage my stress.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I’m familiar with and use supplements and products that help as I relax and unwind.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I’m familiar with the most common environmental toxins and ways to avoid them.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I use nontoxic, eco-friendly products at home and advocate for them with friends and family
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I focus on supporting my body’s natural detoxification process, such as by limiting alcohol intake
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
I educate myself on proactive wellness lifestyle habits
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
I work hard to continuously support my immune function
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I use smart supplementation to complement self-care efforts.
*
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree