Health Questionairre Please fill out the form below to activate the daily email series for your 7-Day Reboot! Name(required) Email(required) Your Weight Measurements: Waist and hip(required) Stress Level Survey 3-5: moderate stress (healthy doses not overwhelming) 5-7: medium to borderline high levels of stress 8-10: high levels of stress Sleep Quality? I sleep soundly through the night I fall asleep as soon as my head hits the pillow I have a hard time unwinding when it is time to go sleep I seldom sleep through the night I wake up tired Eating Survey I eat healthy 80% of the time I follow a Paleo diet I eat a plant-based diet I eat a diet full of whole and real foods I am often on the go and I eat what is fast and convenient I seldom eat "healthy" foods I eat whatever is handy What is one wellness goal and why is it a goal? Submit
