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This Integrative Health and Wellness Assessment is intended for informational purposes only.  It is not a substitute for professional medical advice, diagnosis or treatment.  However, you are more than welcome to print out this form and discuss it with your physician.

Integrative Health and Wellness Assessment for Exercise

Assessing our exercise habits allows us to find new and unique ways of better caring for our bodies. Strengthening, flexibility and balance allow us to live an active and productive life  until or 90s or beyond.

 

Choose the response that most resembles how you feel about making changes or improvements to your exercise program.

Exercise Action Plan
Please List 3 changes that you can implement into your current lifestyle over the next 3 months:

Our Optimal Weight
Assessing our weight fluctuations assists us in maintaining the body size and image that is most healthy.  Physical and mental health are both effected by our body weight.  Energy level, sex drive, and even mobility can have a direct correlation to the up and down of the scale.  

Choose the response that most closely resembles how you feels about making changes or improvements to your optimal body weight.

Optimal Weight Action Plan

Please list 3 changes that you can implement into your current lifestyle over the next 3 months: