Your HIW Wellness Approach

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Motivational Assessment: YOUR Wellness Approach

This assessment invites you to reflect on YOUR goals, motivations, and the support YOU need. Your responses will help us tailor a wellness approach that aligns with your journey, empowering you to move forward with clarity and confidence.

There are no right or wrong answers—just what feels true for you.

First name*

Last name*

Email*

What motivates you to improve your health? Please choose all that apply:

Enhance physical health and fitness

Improve mental and emotional well-being

Manage weight in a balanced way

Address specific health concerns

Boost energy and vitality

Support recovery from injury or surgery

Strengthen immune health

Prepare for a specific event or challenge (e.g., marathon)

Follow recommendations from loved ones or health professionals

Optimize current wellness practices

Refine present wellness parameters

Why do you want a healthier lifestyle? Please choose all that apply:

For longevity and a better quality of life

To set a positive example for family or friends

To move forward after a health scare or medical advice

For personal growth and self-satisfaction

To prevent future health issues

To enhance cognitive function and mental clarity

To better manage stress and achieve serenity

To reach personal milestones and achievements

What are your main health and wellness goals? Please choose all that apply:

Adopt a nutritious diet that supports my health & brings joy to eating.

Build a consistent movement routine that energizes me & fits naturally into my unique schedule.

Transform stress & enhance mental clarity & resilience in a way that feels seamless and sustainable.

Achieve a fitness and/or weight goal thru balanced, sustainable living & self-compassion.

Elevate my sleep quality by cultivating habits that restore and energize me.

Strengthen bones and muscles in alignment with the body’s natural design through natural, empowering movement practices..

Cultivate flexibility and balance as part of a dynamic, thriving lifestyle.

Foster deeper, more meaningful connections through shared wellness experiences.

Expand my understanding of health and wellness to confidently shape my journey.

What have been your previous efforts to improve your health? Please choose all that apply:

Made and sustained some positive changes

Tried but couldn’t sustain improvements

Multiple attempts with mixed success

Haven’t tried making changes before

Participated in wellness challenges or programs

Sought professional health or nutritional advice

Used tracking tools or apps

Engaged in mindfulness, meditation, or similar practices

Sought constructive support and accountability (or felt the lack of it)

Connected with a sense of higher purpose or spirituality for motivation

What challenges have you faced in reaching your health goals? Please choose all that apply:

Lack of time or a busy schedule

Financial or resource limitations

Difficulty finding motivation or support

Health issues or physical limitations

Unclear goals or knowledge gaps

Conflicting or overwhelming information

Limited access to safe exercise spaces or wellness facilities

Emotional or psychological barriers (e.g., anxiety, depression)

Cultural or social pressures

All of the above

What areas of your wellness journey feel like they need more clarity or support? Please choose all that apply:

Balancing work, life, and wellness commitments

Maintaining motivation and consistency

Finding clarity on the best approach or methods

Facing environmental or social barriers

Feeling overwhelmed by too much information

Integrating health practices into daily routines

Building or joining a supportive community

Navigating resistance from family or friends

How ready are you to make lifestyle changes? Please choose all that apply:

Very ready and willing to start now

Somewhat willing but needing guidance

Unsure about readiness

Willing but facing significant obstacles

Not ready at this time

Interested in trying new wellness methods or trends

Seeking subtle ways to integrate health into my lifestyle

Open to larger changes if proven effective

Open for changes aligned with my values and beliefs

How do you prefer to receive health information? Please choose all that apply:

Digital (apps, websites, online courses)

Print (books, pamphlets)

Interactive workshops or seminars

One-on-one consultations

Podcasts or audio content

Social media channels or influencers

In-person guidance from community or health leaders

Experiential learning (e.g., retreats, workshops)

What kinds of support would feel most helpful for you? Please choose all that apply:

Personal coaching or counseling

Group classes or community support

Online resources and self-help tools

Regular health check-ups and professional advice

Technology-enabled health tracking (e.g., wearables)

Access to specialized facilities (e.g., wellness centers, gyms)

Recognition or incentives for achieving health milestones

Peer support and accountability groups

HIW

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.

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

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HIW Live uses secure tools such as Zoom and WhatsApp to foster connection and education. While these tools support communication, absolute privacy cannot be guaranteed—please share mindfully and respect others’ confidentiality.

Motivational Assessment: YOUR Wellness Approach

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