Assessment

The
Immuno-Rejuvenation™
Assessment.

At birth

Female

Male

Your Birthday

In the Last 7 Days...

How well have you felt, overall?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How would you rate your quality of life?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Have you felt happy?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Have you felt inspired?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Have you felt enthusiastic?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How was your energy?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How was your sleep quality?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Has fatigue been an issue for you?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How would you rate your physical fitness?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Has chronic pain (joint discomfort, muscle soreness, headache, etc.) been an issue for you?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How would you rate your physical health, overall?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Have you felt like you had a strong immune system?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How would you rate your diet and the foods you commonly ate?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

After eating, is your hunger satisfied for an adequate period of time?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Did you experience any digestive issues (constipation or diarrhea, gut pain, reflux, gas, indigestion)?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Have you had any problems with your skin or hair texture?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Has your sexual vitality seemed healthy?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How would you rate your feelings of stress?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

In general, how would you rate your satisfaction with your social activities and relationships?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Have you felt interested in other people and ideas?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Overall, how would you rate your emotional health, including your mood and your ability to think clearly?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How have you felt your brain was working?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How well have you remembered things and processed information?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

How would you rate your ability to concentrate?

Poor, bordering on worrisome.

Top of my game!

In the Last 7 Days...

Have you felt in harmony with yourself?

Poor, bordering on worrisome.

Top of my game!