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WELLNESS SELF-ASSESSMENT

Rank the Following Items with Regard to How True They Are for You

I Regularly Get 7+ Hours of Sleep/Night Required
I Dedicate a Part of My Day Doing Something I Find Mentally Restorative (ie Reading/Meditation/Exercise Required
My Diet Predominantly Consists of Whole Foods. Required
I Engage in Regular Physical Activity and/or Exercise 5+ Days a Week Required
I Feel Like I Have Healthy, Reciprocal Relationships With Those Closest to Me. Required
I Wake Feeling Rested Required
I Participate in Activities like Yoga, Stretching, Massage, or Other Mind-Body Movement Most Days of the Week. Required
I Feel Like I Have a Relationship With Food That Contributes to My Well-Being Required
I Participate in Movement or Physical Activities That Contribute to my Mental, Emotional, and Physical Well-Being. Required
I Consider My Daily Stress to Be Manageable. Required
I Feel Most Energized (Check All That Apply)

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Twin Cities Location:

1907 Wayzata Blvd E

Suite 318

Wayzata, MN 55391

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Southwest Metro Location:

143 Outer Drive

Le Sueur, MN 56058

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Contact: (763) 438-8421

tanya.johnson@fitmbsllc.com

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