Lifegevity Profile

By completing the following questions you will gain a better understanding of the specific areas that will provide you the greatest initial improvement. You will also see results quicker by focusing on the most important areas first. In most cases, neither exercise nor nutrition will provide the overall health benefits you desire. For your program to be the most effective, you must incorporate all aspects of the program in the order prescribed.

Take a few moments to complete the questions. Based on your answers, we can develop a customized program that will allow you to improve your health and reduce your body age by over 11 years. We will send you a customized report with your personal Lifegvity prescription. Additional resources may be purchased to begin your program.

Confidentiality – We want you to know that the personal information you share will remain just that, personal. Your confidentiality will be respected. All information provided won’t be shared without written consent. Some of the information collected will be consolidated with other information to provide summarization and norm tables for analysis. For more information on our privacy policies please click here .

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For each of the following questions, answer from 0 % (never) to 10 0% (always). Answer r by what percentage of the time the question pertains to you

1. I have a tough time making changes

2. I'm always replaying scenarios in my mind on how I wish I had handled a situation

3. I worry more than others

4. I feel I do not get enough exercise

5. Eating out a lot makes it difficult for me to eat the right kinds of foods

6. I always feel I get distracted by minor issues

7. I like things to remain the same

8. I wish I had more confidence

9. I don’t sleep well because I have trouble turning off my mind

10. I need to improve my flexibility

11. I eat a lot of processed foods with salt, sugar and fat

12. I don’t have a sense of fulfillment in what I do

13. New situations make me feel uncomfortable

14. I feel others handle conflict better than I do

15. I have trouble focusing on one project at a time

16. The exercises I do are not giving me the results I want

17. I tend to eat when I get depressed or irritated

18. I feel unfocused and have little control over my life

19. I always wait until the last minute to finish things

20. I prefer to work alone rather than within a group

21. My muscles always feel tense in my neck and shoulders

22. I periodically have lower back pain

23. With all of the marketing it’s hard to understand what foods are good for you

24. I never have time to get the things done that I feel are most important

25. I always second guess decisions after they are made

26. I have few close relationships with family and friends

27. I have trouble relaxing

28. I have poor posture

29. I have a poor understanding of the amount of nutrients I need and what I consume daily

30. Other people are more successful than I am

Once you have completed answering the questions please press submit. At any time you may press clear form and start over.