Vitality Score Questionnaire Vitality Score Card Step 1 of 7 14% Start your Vitality Journey by answering 12 simple Yes/No questions to identify your Vitality Score Scientific research has indicated that the human body is unable to keep up with the current environment and people are getting sicker. Sadly stresses of modern life are taking a toll. Many people struggle day to day with a range of health issues that leave them tired and unhappy. Most illness is a complex interaction of physical and lifestyle factors. Many treatments only look at providing short-term symptomatic relief. This brief health appraisal questionnaire will help you to find out why you feel the way you do. By answering 12 short questions you are taking the first step on your journey to having more energy, feeling healthy, and being happy. Lets get started by answering the first 2 questions below:Do you feel stressed, nervous, tense, or unable to relax?*YesNoDo you find it hard to get up in the morning?*YesNo Does your energy ‘crash’ during the day?*YesNoDo you use coffee, tea, soft drinks with caffeine, sugar or chocolate as a pick me up?*YesNo Do you have frequent cold, flu or other infections?*YesNoDo you experience seasonal allergies such as hayfever?*YesNo Do you have indigestion or heartburn after eating?*YesNoDo you have abdominal cramps and/or pain?*YesNo Do you have diarrhoea and/or constipation?*YesNoDo fatty foods cause indigestion or nausea?*YesNo Do you have dark circles or bags under your eyes?*YesNoDo you have difficulty concentrating?*YesNo One thing left to do Fill in your details below to get your Vitality Score instantly as well as my '18-Day Reset-Your-Health Challenge'. Watch your inbox!First Name*Your Email* Your Phone Number*Choose Your Country* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country NameThis field is for validation purposes and should be left unchanged. Address:86 Aprasia AvenueGoogong NSW 2620 Phone:0410 629 173
