Readiness for Revival AssessmentAre you ready to renew and revive your well-being? This brief assessment will help you evaluate your readiness to engage R3. Your responses will provide insight into your motivation, confidence, and openness to personal transformation—mind, body, and spirit. Please answer each question honestly using the following scale: 0 – Not at all 1 – Slightly 2 – Somewhat 3 – Quite 4 – ExtremelyMotivationHow motivated are you to reach a meaningful wellness goal?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 - ExtremelyHow motivated are you to improve your eating habits?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 - ExtremelyHow motivated are you to increase your physical activity?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 -ExtremelyHow motivated are you to try new strategies or techniques for improving your health?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 - ExtremelyConfidenceHow confident are you in your ability to dedicate daily time to tracking food, physical activity, sleep, and meal preparation?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 - ExtremelyIf nutrition change is a goal, how confident are you in your ability to track everything you eat and drink for at least 10–12 weeks?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 -ExtremelyExpectations and OpennessHow satisfied would you feel if you achieved a goal that significantly improved your wellness and quality of life?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 - ExtremelyHow ready are you to engage in introspection with regard to spirituality?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 - ExtremelyHow ready are you to evaluate underlying areas in your life that may be hindering your health?(Required) 0 - Not at all 1 - Slightly 2 - Somewhat 3 - Quite 4 - ExtremelyThis field is hidden when viewing the formMotivation ScoreThis field is hidden when viewing the formConfidence ScoreThis field is hidden when viewing the formExpectations and Openness ScoreYour Readiness ScorePlease submit your form in order to be guided to your next steps.
