Self-Evaluation Form

How satisfied are you with each of these areas of your life on a scale of 1-5?

Mental wellbeing & thought habits - this includes how well you address and deal with depression, anxiety, negative self-talk, repressed emotions, and internal fears.

Clean eating habits - this refers to how well you take control of eating whole, clean, unprocessed foods, eat correct portion sizes, avoid emotional eating and keep hydrated on a consistent basis.

Movement & fitness habits - this refers to how often you prioritise exercise and how fit, strong and flexible you feel that you are.

Mindset Habits *
Clean Eating Habits *
Movement & Fitness Habits *
Growth *
Which area of your life would you love to see growth in the most?
If you would like to expand on any of the above, please feel free here
Name *
Today's Date
Today's Date