Your HIW Wellness Approach

HIW

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

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 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

Motivational Assessment: YOUR Wellness Approach

Your Guide