Angled Butterfly stick drawing
Butterfly Bodymind connection

Wellness-Assessment

Are you ready to improve your wellness?

Are you over 60 years of age? Are you noticing changes to your mobility, memory, body, energy, and/ or your desire to be involved in activities? Are you a grandparent wanting to be more active with your family?

This brief assessment will analyze whether or not you need support to improve your overall wellness.

"*" indicates required fields

Are you a grandparent?*
How would you describe your overall emotional state?*
How would you describe your mobility?*
How are your daily function for work tasks, projects, or managing day to day?*
What describes you best regarding sleep and energy?*
What describes you best regarding how you feel physically?*
What best describes your life events?*
How is your sense of purpose?*
Name

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