Empowering Wellness, One Insight at a Time.

Live Well Theory Survey

The Fell Live Well Theory Survey is important because it provides a comprehensive overview of your current health and well-being. By assessing areas such as physical fitness, mental health, lifestyle habits, and social connections, the survey helps identify strengths and areas for improvement in your overall wellness.

Understanding your health status enables us to offer personalized recommendations and support tailored specifically to your needs. Whether you require guidance in improving your diet, managing stress, or enhancing your mental resilience, your feedback allows us to develop targeted programs that can significantly improve your quality of life. Through this survey, we can work together to create a customized path to better health and well-being.

Live Well Theory Survey

Personal Information

Live Well Theory | Survey
Name(Required)

Gut Health Focused Questions

How often do you experience digestive symptoms?
Which of the following digestive symptoms have you experienced? (Select all that apply)

How would you describe your bowel movements?
How often do you consume probiotics (e.g., yogurt, kefir, fermented foods)?
Do you have any known food intolerances or allergies?

How would you rate your overall diet in terms of gut health?
How much water do you drink daily?
Do you regularly consume fiber-rich foods?
Are you currently experiencing any other health issues that may relate to gut health? (Select all that apply)
Which of the following digestive symptoms have you experienced? (Select all that apply)

How often do you experience digestive symptoms?
How would you describe your bowel movements?
How often do you consume probiotics (e.g., yogurt, kefir, fermented foods)?
Do you have any known food intolerances or allergies?
How would you rate your overall diet in terms of gut health?
Current Level of Physical Activity
Chronic Health Conditions
Typical Daily Diet

Managing Stress

Sleep Duration
Work-Life Balance
Motivation for Healthier Lifestyle

Experience with Health Coach/Healer
Biggest Barriers to Health Goals

Additional Information
What area are you primarily looking to focus on?

Which of the following best describes your current health goal?

How do you currently feel about your health?
What type of support are you looking for?

Which healing modalities are you interested in? (Select all that apply)