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4 Pillars Survey

S.U.R.E health is a balance of all 4 pillars, RECOVERY, EMOTIONAL ENERGY, NUTRITION and MOVEMENT.  Take this short survey to see how YOUR pillars stack up.  

Take the First Step to Becoming S.U.R.E. About Your Health!
Complete the survey, and I’ll personally reply with your results and a link to start your free 2-week health coaching journey.

Here’s what you’ll get:

  • 2 personalized 30-minute one-on-one sessions to focus on your unique goals.
  • 2 accountability touchpoints to keep you on track and motivated.
  • Simple, effective lifestyle tools you can implement immediately for lasting results.

Don’t wait—take control of your health and start feeling sexy, unstoppable, resilient, and energized today!

LIVE A BALANCED LIFE!

Click the button below to start.

Start

Question 1 of 16

RECOVERY: Do you feel rested and refreshed after a full night of sleep?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 2 of 16

RECOVERY: Is your energy level high without the use of caffeine?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 3 of 16

RECOVERY: Is your thinking clear, your thoughts organized and you feel motivated?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 4 of 16

RECOVERY: Are you able to fall asleep within 4-5 minutes each night?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 5 of 16

EMOTIONAL ENERGY: Do you feel "chill and relaxed" during non-work hours?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 6 of 16

EMOTIONAL ENERGY: Do you REFRAIN from replaying negative thoughts or conversations in your head?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 7 of 16

EMOTIONAL ENERGY: Are you able to FALL asleep within 4-5 minutes and STAY asleep each night?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 8 of 16

EMOTIONAL ENERGY: Do you "respond" (calm and thoughtful) instead of "react" (say first thing on your mind) to situations?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 9 of 16

NUTRITION: Do you think about snacks / treats or your next meal?

A

Always = 0

B

Often = 2

C

Seldom = 4

D

Never = 6

Question 10 of 16

NUTRITION: Do you control cravings and have high energy without sugary snacks especially around 3:00pm? 

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 11 of 16

NUTRITION: Do you drink 80-100 oz (2.5-3 liters) of water a day?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 12 of 16

NUTRITION: Do you maintain your  desired weight within a 5% window?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 13 of 16

MOVEMENT: Do you wake WITHOUT pain or stiffness?

A

Never = 0

B

Seldom = 2

C

Often = 4

D

Always = 6

Question 14 of 16

MOVEMENT: How quickly are you able to move from the floor (on your back) to standing WITHOUT USING YOUR HANDS?

A

15 seconds = 0

B

12 seconds = 2

C

8 Seconds = 4

D

5 Seconds = 6

Question 15 of 16

MOVEMENT: How long are you able to stand on one foot WITHOUT HOLDING ONTO SOMETHING?

A

15 Seconds = 0

B

30 Seconds = 2

C

45 Seconds = 4

D

60 Seconds = 6

Question 16 of 16

MOVEMENT: How long are you able to hold an exhaled breath?  (Breath in deeply expanding your belly and your chest.  Exhale all the air out of your lungs and hold the exhaled, empty lungs for as long as you can comfortably)

A

5 Seconds = 0

B

10 Seconds = 2

C

15 Seconds = 4

D

20 Seconds = 6

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