Holistic wellness emphasizes the interconnectedness of various aspects of health and well-being, focusing on the mind, body, and spirit. Here are the key points for holistic wellness:
MaleFemale What is your age? What is your current weight? What is your height?
What is your main health complaint or concern?
On a scale of 1 to 10, how willing are you to commit to following the program? (1 means unlikely, and 10 means definitely)
Do you have proper support from family or friends for your health journey? YesNoNot Sure
What is your main health goal?
Have you had any surgeries in the past? YesNo
Have you been diagnosed with any diseases or chronic conditions? YesNo
Are you currently taking any medications? YesNo
Are you taking any supplements? YesNo
Do you exercise regularly? Daily5 days a week3 days a weekOther
How many hours of sleep do you get on average each night? How would you rate the quality of your sleep? PoorFairGoodExcellent How would you describe your daily stress levels? LowModerateHigh
How would you describe your current diet? Do you have any dietary restrictions or preferences? YesNo
Have you tried any weight loss or health programs in the past? YesNo
What motivates you to improve your health? What do you hope to achieve by joining this program?
What are the biggest obstacles to achieving your health goals?
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