What is your degree of Wellness?


Take two minutes and enter your contact details and answers to the wellness survey and you will receive an email with a wellness score indicating your personal level of wellness and suggestions on ways to improve it.

First Name:  
Last Name:  
Age:    
Home Phone:  
Work Phone:  
Cellular Phone:  
E-mail:  
Weight: Kg    
Height: cm    
What are your specific health and wellness goal?  

Please complete all the fields above

Tick if Yes
1 Do you eat more meals with poultry, lean meat, fish and plant (soy) proteins rather than steak, roasts and other red meats?
2 Do you eat a variety of colourful fruits and vegetables daily and at least seven servings of these a day?
3 Do you consume primarily whole grain (100% whole wheat bread and pasta, brown rice) rather than regular pasta, white rice and bread?
4 Do you eat ocean-caught fish at least 3 times a week?
5 Do you avoid eating of fried foods, dressings, sauces, gravies, butter and margarine?
6 Is your digestive system free of indigestion or irregularity?
7 Do you get a minimum of 30 minutes of exercise 3-5 days a week?
8 Do you maintain a stable and appropriate weight?  
9 Do you usually have time to prepare balanced meals, rather than take out or eating on the run?
10 Do you stay away from fizzy drinks and typical snack foods throughout the day and after dinner?
11 Are you free of water retention and bloating?
12 Do you have the energy and focus you need to meet your challenges all day long?
13 Do you drink at least 8 glasses of water a day?
14 Is your body free of aching and tired muscles or joints?
15 Do you very rarely catch colds, and when you do, do you recover quickly?
16 Are your blood pressure, triglycerides and cholesterol in the normal range?
Please complete the required fields indicated by *


Please contact me to give me tips on reaching my goal.