A Guiding Change - Holistic Health Coach and Partner

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Quick Wellness Check-In

Take a moment to reflect on where you are—and where you'd like to go with your health.

On a scale of 1–5, rate the following (1 = needs improvement, 5 = feeling great):

Energy Levels

1

2

3

4

5

Needs improvement Feeling great

Sleep Quality

1

2

3

4

5

Eating Habits (whole foods, balanced meals)

1

2

3

4

5

Movement/Physical Activity

1

2

3

4

5

Stress & Emotional Balance

1

2

3

4

5

Mental Clarity / Focus

1

2

3

4

5

Connection (spiritual, social, or personal)

1

2

3

4

5

Bonus Reflection (optional):

What's one area you'd most like to improve in the next 30 days?

Thank you for completing your wellness check-in!

💌 Save your assessment and get personalized recommendations

We'll email your results with personalized wellness recommendations.

Ready to turn these insights into action?

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