This test is a great place to start as you begin on your journey to achieve better health and wellbeing! It is also a great place to come back to as it allows you to see how far you have come!
This test is by no means scientific or perfect but it is a really great resource to enable you to see where you are at in terms of your lifestyle. From this you may be able to identify where you want to make changes first, how bad or how good your lifestyle is right now as well as prompting you to areas of possible interest.
I suggest that you print this page off and then take the time to work your way through it. Make notes, highlight areas that need work, and then visit the different areas on the previous page for lots of information on how to start improving your scores! You can also click onto the practitioners button to find a professional that can help you on your journey. I would always suggest that you find a professional to work with where possible, however there is lots of useful information available for you to enable you to help you achieve a healthier and more fulfilling lifestyle.
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Basic Awareness Test
Rate your current lifestyle from 1 (Poor) to 10 (Super Great) in the following areas:
NUTRITION 1 2 3 4 5 6 7 8 9 10
EXERCISE 1 2 3 4 5 6 7 8 9 10
SLEEP 1 2 3 4 5 6 7 8 9 10
REST TIME 1 2 3 4 5 6 7 8 9 10
MENTAL HEALTH 1 2 3 4 5 6 7 8 9 10
TOXIC LOAD 1 2 3 4 5 6 7 8 9 10
SOCIAL TIME 1 2 3 4 5 6 7 8 9 10
MEDICAL CARE 1 2 3 4 5 6 7 8 9 10
(Medical Care - Do you carefully choose who provides you with your medical care, what are the side effects, can something else more natural be an alternative solution. Therefore 10 is you always make a careful decision as to whether western medicine is right for you by always looking for more natural alternatives and 1 is that you just go for what the doctor tells you and are not even aware there are alternatives)
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In-Depth Awareness Test
PERSONAL DETAILS
ADDRESS _____________________
AGE _____________________
GENDER _____________________
ETHNICITY _____________________
OCCUPATION _____________________
WEIGHT _____________________
HEIGHT _____________________
PREGNANT _____________________
HEALTH PROFILE
CONDITIONS & DISEASES THAT RUN IN YOUR FAMILY HISTORY
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WHAT CONDITIONS, DISEASES, ILLNESSES DO YOU HAVE OR HAVE HAD, HOW LONG DID/HAS IT LAST/ED AND HOW BAD WAS/IS IT?
(EG, BROKEN BONES, TONSILLITIS, CHICKEN POX, ETC)
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WHAT IMMUNISATIONS HAVE YOU HAD?
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HAVE YOU HAD ANY DENTAL WORK? WHAT WAS IT?
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HAVE YOU HAD ANY OPERATIONS? WHAT WERE THEY? WHEN WERE THEY?
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WHAT MEDICATIONS HAVE YOU TAKEN IN THE PAST? (DOSAGE, HOW LONG)
[Such as: antacids, antibiotics, anticonvulsants, antidepressants, antifungals, aspirin, ibuprofen, inhaler, beta blockers, chemotherapy, cortisone, diabetic medications, diuretics, estrogen, progesterone, heart medications, blood pressure medications, hormone therapy, laxatives, insulin, oral/implant contraceptives, radiation exposure, recreational drugs, relaxants, sleeping pills, thyroid medication, tylenol, acetaminophen, ulcer medications]
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WHAT MEDICATIONS DO YOU TAKE NOW? (DOSAGE, HOW LONG)
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WHAT IS YOUR BLOOD PRESSURE? HAS IT CHANGED OVER TIME?
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HAVE YOU HAD ANY CHILDREN? IF SO HOW MANY?
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DO YOU OR DID YOU SMOKE? WHAT DO/DID YOU SMOKE? HOW MUCH? FOR HOW LONG?
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HOW OFTEN DO YOU EXERCISE? HOW DO YOU EXERCISE?
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HOW OFTEN AND HOW LONG DO YOU RAISE YOUR HEART RATE A WEEK?
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DO YOU EAT MEAT? HOW OFTEN, WHAT TYPE AND HOW MUCH DO YOU EAT?
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HOW MANY UNITS OF ALCOHOL DO YOU CONSUME A DAY?
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HOW MANY UNITS OF ALCOHOL DO YOU CONSUME A WEEK?
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HOW MANY TEASPOONS OF SUGAR DO YOU HAVE A DAY? HOW MUCH PER WEEK?
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HOW MANY TEASPOON OF SALT DO YOU HAVE A DAY? HOW MUCH PER WEEK?
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DO YOU LIVE IN A CITY OR NEXT TO BE BUSY ROAD?
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HOW LONG DO YOU SPEND IN OR NEAR TRAFFIC EVERYDAY?
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WHAT PERCENTAGE OF YOUR WEEKLY FOOD INTAKE IS ORGANIC?
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WHAT PERCENTAGE OF YOUR WEEKLY WATER INTAKE IS FILTERED?
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HOW MANY HOURS A DAY ARE YOU LOOKING AT A SCREEN?
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HOW MANY HOURS A DAY DO YOU SPEND SAT DOWN?
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HAS YOUR ENERGY INCREASED OR DECREASED COMPARE TO HOW IT USE TO BE?
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DO YOU FEEL GUILTY FOR RESTING, SLEEPING, RELAXING OR HAVING LEISURE TIME?
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DO YOU HAVE A PERSISTENT NEED FOR ACHIEVEMENT?
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ARE YOU CLEAR ABOUT YOUR LIFE GOALS?
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ARE YOU PARTICULARLY COMPETITIVE?
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DO YOU WORK HARDER THAN MOST PEOPLE?
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DO YOU CONSIDER YOURSELF AS SPONTANEOUS?
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DO YOU HAVE HIGH EXPECTATIONS?
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ARE YOU IMPATIENT/IMPATIENT IN CERTAIN SITUATIONS?
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DO YOU USE SOMETHING TO GET YOU GOING IN THE MORNING?
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DO YOU USE SOMETHING TO HELP GET YOU TO SLEEP?
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DO YOU CHEW YOUR FOOD THOROUGHLY?
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DO YOU HAVE DIFFICULTY DIGESTING CERTAIN FOODS? (WHAT ARE THEY?)
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NUMBER YOUR STOOLS USING THE BRISTOL STOOL CHART
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DO YOU HAVE ANY INTOLERANCES OR ALLERGIES? (DESCRIBE)
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HAVE YOU RECENTLY EXPERIENCED ANY MAJOR PERSONAL LOSS?
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WHAT FOOD OR DRINK WOULD YOU STRUGGLE TO GIVE UP?
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ARE YOU PREGNANT? HOW MANY WEEKS?
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ARE YOU TRYING FOR A BABY? HOW LONG HAVE YOU BEEN TRYING?
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HAVE YOU HAD OR EVER HAD A MISCARRIAGE?
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ARE YOU ON BIRTH CONTROL?
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ARE YOU PRE-PUBERTY, AT PUBERTY, POST PUBERTY, PERIMENOPAUSAL, MENOPAUSAL, POST-MENOPAUSAL?
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WERE YOU BREAST FED?
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WERE YOU BORN VIA C-SECTION?
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DESCRIBE YOU CHILDHOOD DIET?
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HOW OFTEN AND WHAT TYPE OF READY MEALS OR FAST FOODS DO YOU EAT IN A WEEK?
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HOW MANY SERVINGS OF FRUIT DO YOU EAT A DAY?
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HOW MANY SERVINGS OF VEGETABLES DO YOU EAT A DAY?
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DO YOU WASH YOUR FRUIT AND VEG BEFORE EATING IT?
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HOW MANY TIMES A DAY DO YOU EAT CHOCOLATE, SWEETS, BISCUITS, CAKE?
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HOW MANLY ML OF FIZZY OR HIGH SUGAR DRINKS DO YOU HAVE A DAY?
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DO YOU EAT AND DRINK ANYTHING THAT CONTAINS SWEETENERS? IF SO WHAT ARE THEY?
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DO YOU CONSUME LOTS OF CANNED GOODS?
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DO YOU FREQUENTLY EAT UNDER STRESS, ON THE MOVE OR WHILE DOING SOMETHING ELSE?
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HOW MANY GLASSES OF WATER DO YOU DRINK A DAY?
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HOW OFTEN DO YOU EAT LIVE YOGHURT OR FERMENTED FOOD?
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HOW OFTEN DO YOU EAT FISH? WHAT TYPES?
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DO YOU NORMALLY EAT WHITE RICE, PASTA,BREAD, ETC?
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HOW MANY PINTS OF MILK DO YOU DRINK PER WEEK?
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WHAT OIL DO YOU COOK WITH?
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HOW MANY MEALS DO YOU EAT A DAY?
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ARE YOU SENSITIVE TO ANY CHEMICALS?
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WHAT IS YOUR FREQUENCY OF BOWEL MOVEMENTS?
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IS IT PARTICULARLY PAINFUL TO PRESS ON ANY PART OF YOUR BODY?
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YOUR CURRENT HEALTH CONCERNS & THEIR DURATIONS
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DOES ANYTHING YOU DO RIGHT NOW HELP WITH THESE CONCERNS
(EG LYING DOWN, MOISTURISER, GOING ON HOLIDAY, ETC)
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DOES ANYTHING YOU DO RIGHT NOW WORSEN THESE CONCERNS
(EG LACK OF SLEEP, CERTAIN PRODUCTS, CERTAIN PLACES, FOOD, ETC)
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SYMPTOMS TRACKER
ARE YOU AFFECTED BY ANY OF THE FOLLOWING?
(TICK, HIGHLIGHT, UNDERLINE, ETC)
MOUTH ULCERS
TOOTH DECAY
MOUTH OVER SENSITIVE TO HOT AND COLD
BLEEDING GUMS
BAD BREATH
TENDER GUMS
TEETH GRINDING
STORE TONGUE
CRACKED LIPS
EXCESSIVE THIRST
TOOTH DECAY
DRY MOUTH, NOSE, EYES
COATED TONGUE
POOR SENSE OF TASTE
POOR SENSE OF SMELL
STUFFY NOSE
GAG EASILY
BITTER TASTE IN MOUTH
COLD SORES
NASAL PROBLEMS
FACIAL PUFFINESS
POOR NIGHT VISION
EYE PAIN
BURNING EYES
GRITTY EYES
SENSITIVE TO BRIGHT LIGHTS
CATARACTS
DRY EYES
DULL HAIR
OILY HAIR
POOR HAIR CONDITION
HAIR LOSS
EXCESS BODY HAIR
PREMATURELY GREYING HAIR
PREMATURE AGING
WHITE MARKS ON FINGER NAILS
ACNE
DARK CIRCLES UNDER EYES
GREASY SKIN
RED PIMPLES ON SKIN
PREMENSTRUAL ISSUES
POST MENSTRUAL ISSUES
BREAST PAIN
HEAVY PERIODS
IRREGULAR PERIODS
BLOOD LOSS
FREQUENT COLDS
FREQUENT INFECTIONS
DRY FLAKY SKIN
STRETCH MARKS
PALE SKIN
ECZEMA
DERMATITIS
DANDRUFF
THRUSH
FUNGAL INFECTION
CYSTITIS
SPLIT OR POOR QUALITY NAILS
EXCESSIVE SWEATING
EASY BRUISING
SLOW WOUND HEALING
NOSE BLEEDS
EXCESSIVE SWEATS
COLD SWEATS
STRONG SMELL OF SWEAT
VARICOSE VEINS
ANAL IRRITATION
DIARRHOEA
PARASITES
HEMORRHOIDS
STOMACH PAINS
STOMACH UPSETS
BURNING SENSATION IN STOMACH
CONSTIPATION
SLUGGISH METABOLISM
FAST METABOLISM
SLEEPY AFTER MEALS
IRRITABLE BOWEL SYNDROME (IBS)
EXCESSIVE FLATULENCE
POTENT FLATULENCE
EXCESSIVE BELCHING
UNDIGESTED FOOD IN STOOLS
BLACK OR TARRY STOOLS
NAUSEA
VOMITING
WATER RETENTION
DIFFICULTY SWALLOWING
LUMP IN THROAT
POOR APPETITE
SENSE OF EXCESSIVE FULLNESS AFTER MEALS
DIZZINESS WITHOUT FOOD FOR 6 HOURS
IRRITABILITY WITHOUT FOOD FOR 6 HOURS
NEED FOR FREQUENT MEALS
NEED FOR SWEET FOODS
ARTHRITIS
HEADACHES
MIGRAINES
DIZZINESS
POOR SENSE OF BALANCE
MIGRAINES
BACK ACHE
MUSCLE CRAMPS
BREAST TENDERNESS
ROUGH SKIN
SPASMS
JOINT PAIN
STIFFNESS
LOSS OF MUSCLE TONE
TENDER MUSCLES
SORE MUSCLES
PRICKLY LEGS
TINGLY HANDS
MUSCLE TREMORS
BURING FEET
TENDER HEELS
ITCHY FEET
STOMACH PAINS
RASH
MUSCLE TWITCHES
GROWING PAINS
SORE KNEES
COLD HANDS
GROWTHS OR LUMPS
POOR MEMORY
POOR CONCENTRATION
IRRITABILITY
ANXIETY
TENSION
APATHY
HYPERACTIVITY
DEPRESSION
NERVOUSNESS
LACK OF SEX DRIVE
STRONG SEX DRIVE
INFERTILITY
LOW FERTILITY
EXHAUSTION AFTER LIGHT EXERCISE
LACK OF ENERGY
RAPID HEART BEAT
HIGH BLOOD PRESSURE
IRREGULAR HEART BEAT
FITS
CONVULSIONS
INSOMNIA
INFREQUENT DREAM RECALL
NEED FOR EXCESSIVE SLEEP
DROWSINESS DURING DAY
BIZARRE OR VIVID DREAMS
DO YOU FEEL AWAKE UPON RISING
HIGH PAIN TOLERANCE
LOW PAIN TOLERANCE
TRAVEL OR MOTION SICKNESS
FEELING SPACEY OR UNREAL
DOUBLE JOINTED
POPPING OR CLICKING JOINTS