Please rate the following with regard to your level of play as you see it now. Rate each area on a scale of 1-10 using only whole numbers, with one being the lowest and ten being the highest.
First Name
Last Name
How would you rate your present level of health?
How would you rate your present effort level in improving your health?
How would you rate your willingness to work harder at improving your health?
How would you rate your present level of movement and exercise?
How would you rate your present effort level in achieving more movement and exercise?
How would you rate your willingness to work harder in achieving more movement and exercise?
How would you rate your present ability to keep your daily energy high through the day?
How would you rate your present effort level in keeping your energy high throughout the day?
How would you rate your willingness to work harder in bettering your energy?
How would you rate your present effort level in maintaining healthful nutrition?
How would you rate your willingness to work harder toward better and more healthful nutrition?
How would you rate your current sleep habits in helping you stay healthy?
How would you rate your present effort level in bettering your sleep?
How would you rate your willingness to work harder at bettering your sleep?
How would you rate your current lifestyle in terms of healthy habits?
How would you rate your present effort level at maintaining a healthy lifestyle?
How would you rate your willingness to work harder toward achieving a healthier lifestyle?
How would you rate your present level of knowledge about health and wellness?
How would you rate your present effort level in improving your health and wellness knowledge?
How would you rate your willingness to work harder in improving your health and wellness knowledge?
How would you rate your present ability to manage the stress in your life?
How would you rate your present effort level in managing the stress in your life?
How would you rate your willingness to work harder at managing your stress?
How would you rate your present ability to move up and improve in your work life?
How would you rate your present effort level trying to improve in your work life?
How would you rate your willingness to work harder in improving in your work life?
How would you rate the present quality of your life compared to where you want it to be?
How would you rate your present effort level in improving your quality of life?
How would you rate your willingness to work harder in bettering your quality of life?
