check

Vitality Questionnaire

Learn how you may create more energy each and every day, reduce your stress levels, and feel happier, be more productive, and love life even more than you already do! Receive specific, tangible recommendations that you can begin applying to your life immediately, for awesome results!  

Click the button below to start.

Start

Question 1 of 20

1. Do you feel happy, productive, rested, enthusiastic, optimistic, engaged, excited, and/or ready to take on all challenges each and every day?

Please select a number from 0-10 that best describes you:

0 = I never ever feel that way

5 = There are days when I feel like that

10 = I feel like that all the time

Question 2 of 20

2. Do you feel rested first thing in the morning?

Rank you answer from 0-10

0 = you have no energy

5 = somewhat rested

10 = fresh as a daisy

Question 3 of 20

3. Do you get between 7 and 9 hours of sleep each night?

Rank you answer from 0-10

0 = never

5 = sometimes

10 = always

 

 

Question 4 of 20

4. Do you sleep very late, and wake up very early?

Rank you answer from 0-10

0 = always

5 = sometimes

10 = never

Question 5 of 20

5. Do you eat food within 3h of going to bed? E.g. Sleep at 10p.m, do you eat after 7p.m?

Rank you answer from 0-10

0 = always

5 = sometimes

10 = never

Question 6 of 20

6. Are you in front of a screen in the last hour before bedtime?

Rank you answer from 0-10

0 = always

5 = sometimes

10 = never

Question 7 of 20

7. Do you sleep in a dark room?

Rank you answer from 0-10

0 = never

5 = sometimes

10 = always

Question 8 of 20

8. Is your room excessively hot? Or is your room excessively cold? If your room is a comfortable temperature please enter 10. If it's too hot, or too cold all the time, enter 0.

Rank you answer from 0-10

0 = always

5 = sometimes

10 = never

Question 9 of 20

9. Do you stretch, do yoga, tai chi, qi gong, and/or get some healing therapy (massage, accupuncture etc.) 3-5 times a week?

Rank you answer from 0-10

0 = never

5 = sometimes

10 = always

Question 10 of 20

10. Do you practice mindfulness or breathing exercises 3-5 times a week?

Rank you answer from 0-10

0 = never

5 = sometimes

10 = always

Question 11 of 20

11. Do you practice meditation 3-5 times a week? E.g. Seated meditation, walking meditation etc.

Rank you answer from 0-10

0 = never

5 = sometimes

10 = always

Question 12 of 20

12. Do you eat a balanced diet consistently? i.e. natural, unprocessed foods, lots of vegetables, healthy fats (nuts, seeds, avocados etc.), healthy grains (if you can tolerate them), and more.

Rank you answer from 0-10

0 = never

5 = sometimes

10 = always

Question 13 of 20

13. Do you drink adequate water? Multiply your body weight (in Kg) by 0.033 to get an estimate. If you're very physically active, live in a hot climate, or sweat a lot, you'll need more than this estimate.

Rank you answer from 0-10

0 = never

5 = sometimes

10 = always

Question 14 of 20

14. Do you feel stuffed and bloated after finishing your meals?

Rank you answer from 0-10

0 = always

5 = sometimes

10 = never

Question 15 of 20

15. Select a number from 1-10 that best describes you:

0-2 = My relationships bring me joy, happiness, and are a sources of positive energy.

3-7 = My relationships bring me a mix of joy and stress.

8-10 = I experience lots of anxiety and stress from my relationships (spouse/partner, friends, family, co-workers).

Question 16 of 20

16. Select a number from 1-10 that best describes you:

0-2 = My exercise routine, food choices, water intake, sleep duration & quality revitalize me and help me feel great every day.

3-7 = My exercise routine, food choices, water intake, sleep duration & quality give me energy and revitalize me on some days.

8-10 = I am always on the go. I feel drained all the time. My body hurts, I can't focus. I have little to no consistency with my exercise, nutrition, hydration or sleep.

 

Question 17 of 20

17. Select a number from 1-10 that best describes you:

0-2 = I feel like I am being guided, and that everything happens for a reason. I have faith that things will work out for the best.

3-7 = I feel some connection or support from something greater than myself.

8-10 = I feel no connection or support from anything greater than myself (e.g. God, religion, spirituality, 'source', 'energy', etc.)

 

Question 18 of 20

18. Select a number from 1-10 that best describes you:

0-2 = I use my mental energy to solve problems, and to help others and myself. Doing so invigorates me.

3-7 = Sometimes I have good mental energy and I use it constructively, other times I feel mentally drained.

8-10 = I am constantly using my mental energy on random things that leave me feeling drained all the time. 

Question 19 of 20

19. Select a number from 1-10 that best describes you:

0-2 = I think positive thoughts all the time. I focus on solutions. I am optimistic, and I use empowering language with myself and others.

3-7 = Sometimes I have positive thoughts and use positive language, while other times I'm more negative.

8-10 = My mind stays fixed on negative thoughts, outcomes, and a 'no can do' attitude. I feel powerless and not in control.

Question 20 of 20

20. Select a number from 1-10 that best describes you:

0-2 = I have ample access to money and finances do not stress me out at all.

3-7 = My financial situation is pretty good, but I stress about finances from time to time.

8-10 = My mind stays fixed on financial uncertainty, fear of poverty and lack of funds. I feel powerless and not in control.

Confirm and Submit