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Wellbeing Evaluation

TRANSFORM YOURSELF

Make Optimal Health a Reality

Taking the Wellbeing Evaluation is the one of the first steps that you’ll take on your Optimal Health journey with OPTAVIA! Please rate yourself on the following areas on a scale of 1-10, 1 being “Poor” and 10 being “Optimum.”

Healthy Body

*This question is required.

Space Cell	1	2	3	4	5	6	7	8	9	10
Weight Status	Weight Status: 1	Weight Status: 2	Weight Status: 3	Weight Status: 4	Weight Status: 5	Weight Status: 6	Weight Status: 7	Weight Status: 8	Weight Status: 9	Weight Status: 10
Eating Habits	Eating Habits: 1	Eating Habits: 2	Eating Habits: 3	Eating Habits: 4	Eating Habits: 5	Eating Habits: 6	Eating Habits: 7	Eating Habits: 8	Eating Habits: 9	Eating Habits: 10
Physical Activity	Physical Activity: 1	Physical Activity: 2	Physical Activity: 3	Physical Activity: 4	Physical Activity: 5	Physical Activity: 6	Physical Activity: 7	Physical Activity: 8	Physical Activity: 9	Physical Activity: 10
Sleeping	Sleeping: 1	Sleeping: 2	Sleeping: 3	Sleeping: 4	Sleeping: 5	Sleeping: 6	Sleeping: 7	Sleeping: 8	Sleeping: 9	Sleeping: 10
Relaxation	Relaxation: 1	Relaxation: 2	Relaxation: 3	Relaxation: 4	Relaxation: 5	Relaxation: 6	Relaxation: 7	Relaxation: 8	Relaxation: 9	Relaxation: 10
Safe and Healthy (Work/Home/Play)	Safe and Healthy (Work/Home/Play): 1	Safe and Healthy (Work/Home/Play): 2	Safe and Healthy (Work/Home/Play): 3	Safe and Healthy (Work/Home/Play): 4	Safe and Healthy (Work/Home/Play): 5	Safe and Healthy (Work/Home/Play): 6	Safe and Healthy (Work/Home/Play): 7	Safe and Healthy (Work/Home/Play): 8	Safe and Healthy (Work/Home/Play): 9	Safe and Healthy (Work/Home/Play): 10

Healthy Mind

*This question is required.

Space Cell	1	2	3	4	5	6	7	8	9	10
Most Relationships	Most Relationships: 1	Most Relationships: 2	Most Relationships: 3	Most Relationships: 4	Most Relationships: 5	Most Relationships: 6	Most Relationships: 7	Most Relationships: 8	Most Relationships: 9	Most Relationships: 10
Attitude at Work	Attitude at Work: 1	Attitude at Work: 2	Attitude at Work: 3	Attitude at Work: 4	Attitude at Work: 5	Attitude at Work: 6	Attitude at Work: 7	Attitude at Work: 8	Attitude at Work: 9	Attitude at Work: 10
Meaning and Purpose	Meaning and Purpose: 1	Meaning and Purpose: 2	Meaning and Purpose: 3	Meaning and Purpose: 4	Meaning and Purpose: 5	Meaning and Purpose: 6	Meaning and Purpose: 7	Meaning and Purpose: 8	Meaning and Purpose: 9	Meaning and Purpose: 10
Spirituality Time	Spirituality Time: 1	Spirituality Time: 2	Spirituality Time: 3	Spirituality Time: 4	Spirituality Time: 5	Spirituality Time: 6	Spirituality Time: 7	Spirituality Time: 8	Spirituality Time: 9	Spirituality Time: 10
Community Service	Community Service: 1	Community Service: 2	Community Service: 3	Community Service: 4	Community Service: 5	Community Service: 6	Community Service: 7	Community Service: 8	Community Service: 9	Community Service: 10
Hobbies/Fun	Hobbies/Fun: 1	Hobbies/Fun: 2	Hobbies/Fun: 3	Hobbies/Fun: 4	Hobbies/Fun: 5	Hobbies/Fun: 6	Hobbies/Fun: 7	Hobbies/Fun: 8	Hobbies/Fun: 9	Hobbies/Fun: 10

Healthy Finances

*This question is required.

Space Cell	1	2	3	4	5	6	7	8	9	10
Abundance	Abundance: 1	Abundance: 2	Abundance: 3	Abundance: 4	Abundance: 5	Abundance: 6	Abundance: 7	Abundance: 8	Abundance: 9	Abundance: 10
Resources to Minimize Stress	Resources to Minimize Stress: 1	Resources to Minimize Stress: 2	Resources to Minimize Stress: 3	Resources to Minimize Stress: 4	Resources to Minimize Stress: 5	Resources to Minimize Stress: 6	Resources to Minimize Stress: 7	Resources to Minimize Stress: 8	Resources to Minimize Stress: 9	Resources to Minimize Stress: 10
Money Management	Money Management: 1	Money Management: 2	Money Management: 3	Money Management: 4	Money Management: 5	Money Management: 6	Money Management: 7	Money Management: 8	Money Management: 9	Money Management: 10
Money to Do What You Want	Money to Do What You Want: 1	Money to Do What You Want: 2	Money to Do What You Want: 3	Money to Do What You Want: 4	Money to Do What You Want: 5	Money to Do What You Want: 6	Money to Do What You Want: 7	Money to Do What You Want: 8	Money to Do What You Want: 9	Money to Do What You Want: 10
Resources to Create Memories/Experiences	Resources to Create Memories/Experiences: 1	Resources to Create Memories/Experiences: 2	Resources to Create Memories/Experiences: 3	Resources to Create Memories/Experiences: 4	Resources to Create Memories/Experiences: 5	Resources to Create Memories/Experiences: 6	Resources to Create Memories/Experiences: 7	Resources to Create Memories/Experiences: 8	Resources to Create Memories/Experiences: 9	Resources to Create Memories/Experiences: 10
Community Contribution	Community Contribution: 1	Community Contribution: 2	Community Contribution: 3	Community Contribution: 4	Community Contribution: 5	Community Contribution: 6	Community Contribution: 7	Community Contribution: 8	Community Contribution: 9	Community Contribution: 10