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My Lifestyle Today:    
A Wellness Approach  

As You Begin...

Please take a few moments to complete this questionnaire.


Your responses help bring greater clarity to what matters most to you and allow our time together to be more focused and meaningful.

Please answer in the way that feels most true for you. You may skip any question that feels uncomfortable.


Your responses are kept confidential and used only to better understand your priorities and support a more personalized, health-promoting lifestyle approach. They will not be sold or shared outside HIW except as required by law.


HIW provides educational and informational guidance only and does not diagnose, treat, prescribe, or provide medical care.


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Acknowledgment & Agreement
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I confirm that I am 18 years of age or older and agree to the Disclaimer, Privacy Policy, Terms & Conditions Policy, and Forms Disclaimer. I understand that HIW provides educational support only. Your responses and information are Confidential and Private. See Policies etc in footer of www.hiwlive.com.

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For urgent or emergency situations, immediately contact local emergency services or your healthcare provider.

If you or someone else is in immediate danger or having a medical emergency, call 911 or go to the nearest emergency room.

 

For immediate emotional, mental health, suicide, or substance use crisis support in the United States and Puerto Rico, call or text 988. 988 is available 24/7, and support is available by call, text, or chat.​

 

Professional Responsibility Statement for Wellness Education

HIWLive.com offers science-based, heart-aware information created to inspire awareness, self-responsibility, and informed wellness choices.  All materials are shared for educational purposes only and are intended as general guidance for personal exploration of wellbeing.

Medical decisions, nutritional plans, and individualized care are the responsibility of licensed healthcare professionals who can evaluate your personal needs and medical history. HIW Live does NOT provide medical care, therapy, or nutrition treatment. Its purpose is to empower learning, self-understanding, and lifestyle awareness.

Every person’s journey is unique, and individual experiences will differ.

By accessing or using this website, its programs, or materials, you acknowledge that you have read, understood, and agreed to the HIW Participant Waiver & Educational Coaching Agreement, Disclaimer, Terms & Conditions, Privacy Policy, User License, and Code of Conduct.

 

HIW Live may use secure communication tools such as Zoom and WhatsApp for connection and education. While these tools support communication, absolute privacy cannot be guaranteed. Please share mindfully and respect the confidentiality of others.

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