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The main purpose of me sharing my story with you is to see if you and I might just be on the same path regarding our health legacy. I realized that it was time that I had to change for the good of my family. I have a legacy that I want my children to have and it is one that involves a long and healthy life. Please take the health survey below and see how you feel about your general health. Maybe you’ll see that we are on the same path. My hope is that the path includes making some changes for those who we love most. After you fill it out, please submit the form and let’s talk more. I’m here to help change my legacy and, if needed, help you change yours.

Take The First Step Towards Health

Health Assessment Form

  • Rate yourself for each category using the
    rating system below to score yourself.

    0 to 3: Low energy, feeling overwhelmed, not functioning well, poor food choices, frequent use of stimulants.

    4 to 7: Feeling/performing OK; some healthy choices, room to improve, some use of stimulants.

    8 to 10: Feeling/performing well, making healthy choices, steady improvement, no use of stimulants.







  • Vitality Indicator

  • Please enter a value between 1 and 10.
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    (Based on the number of cups per day – the more you drink the lower your score)