Health Assessment
Please answer every question with the response that best describes you.
I have something in my life I am passionate about.
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I am grateful for many things in my life.
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I spend most of my time fulfilling my life's purpose.
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I engage in some kind of mindful reflection most days.
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My friends say I am a compassionate person.
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My life is filled with activities and relationships that give me energy.
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Every day is a special day.
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Most days I do something to renew my spirit.
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I can move about most of the time without pain, discomfort or shortness of breath.
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I sleep 8 hours every night.
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I exercise most days for 30 minutes.
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I drink 8 glasses of water throughout the day.
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I drink 2 cups or less of coffee each day.
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I stop eating 2 hours before I got to bed.
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I take a break every 2 hours when working on a project.
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I feel equally engergized throughout the day.
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I eat 8 servings of fruits and vegetables every day.
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I have plenty of time to accomplish all the things I need to do.
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I am able to think clearly, even under pressure.
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I have activities I enjoy doing outside of work.
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My work is my life purpose.
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I get over negative feelings quickly.
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I eat a healthy breakfast every day.
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I am on time for appointments.
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I have several close friends I can count on.
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I go with the flow and accept change easily.
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I reserve time each day with nothing on my schedule.
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When something needs to be addressed I am able to have difficult conversations.
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When I am with family and friends I stop working and put away my cell phone.
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I get along well with my boss and coworkers.
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People say I am a positive person.
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I find it easy to concentrate.
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I am mentally prepared to do my job each day.
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I schedule fun activities every week.
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I have healthy outlets for managing stress.
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I eat regular small meals throughout the day.
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I have normal bowel habits.
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Nutritional supplements are a regular part of my diet.
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Any food sensitivities or food allergies are under good control.
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I enjoy many hobbies.
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I enjoy a variety of recreational activities.
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My diet is made up for more plant-based foods than animal-based foods.
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My doctor told me I am not at risk for cardiovascular disease or heart attack.
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My doctor told me I am not at risk for or have diabetes.
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My BMI is less than 25%.
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I know my cholesterol and fasting glucose levels.
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I do not smoke cigarettes.
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I drink less than 1 alcoholic beverage a day.
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I would enjoy meeting regularly with a group to support me to reach my health goals.
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I would enjoy meeting regularly with a health coach to support me to reach my health goals.
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