Welcome to Your Intake Assessment Questionnaires Page
This page presents a series of questionnaires meant to obtain detailed information needed for Precision Functional Health Coaching by your Functional Health Specialist
There are 7 questionnaires of various lengths. I do apologize for how many there are. But our form builder didn't have sections.
After you've completed the last one, click the red button to access the calendar and book your consultation.
#1: Physical Condition
This questionnaire acts to draw out information about your current level of functional health.
It asks health information (HIPAA compliant) along with giving us some basic information about where we are starting from from a performance perspective.
#2: Active Living/Health Behaviors
This assessment is an extension of the Physical Activity as a Vital Sign healthcare questionnaire.
It uncovers precise information about healthy living, physical activity, and nutrition.
#3: Goal Assessment
This form is an outcomes assessment to objectively identify and evaluate physical goals for the purpose of creating a strategy to obtain them
#4: Value Statement
A bridge between your goal and the mindsets you hold is your value statement. A value statement is the uncovering of WHY you want a specific goal.
It is the goal behind the goal. This strengthens the reasoning for continued work toward the result for which you strive.
#5: Mindset- Part 1
Mindset part one reveals information regarding how you think with respect to project administration and goal achievement.
#6: Mindset Part II
Mindset part 2 deals with pre-conceived notions dealing with physical development and your readiness to engagement in development strategies.
#7: Resources and Project Management
Here we do an accounting of our resources.... social, environmental, equipment, space, etc.
Your questionnaire responses go directly to your specialist for them to review prior to your consultation.
Click the button to book your consultation appointment for analysis and formation of strategy.