1 . Check off any health concerns you have experienced in the past 6 months.
Which of the above is the worst?
What does this keep you from doing?
2 . Using the Creating Wellness scale below, select a number where you think your health is right now.
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125+
3 . Select a number where you would like to be.
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125+
If you checked any of the above items, the cause could be:
Physical Stress (trauma) Chemical Stress (toxins) Psychological Stress (thoughts)
If you change nothing in your lifestyle...in 5 years will you be:
