Wellness Assessment

Health & Wellness Assessment

Thank you for taking the time to complete this Health & Wellness Assessment. This brief questionnaire allows us to gain a deeper understanding of your current well-being, including factors like energy levels, sleep quality, digestion, mood, and physical comfort. By reviewing these key areas, our goal is to identify any imbalances and recommend treatments tailored to your specific needs. This assessment is an important first step in creating a customized health plan that may include traditional Thai medicine treatments and targeted cannabis products to support your optimal health.

Name

1. How would you rate your overall energy levels throughout the day?

2. How well do you usually sleep at night (quality and duration)?

3. How would you describe your digestion (frequency, comfort, regularity)?

4. How often do you experience stress or anxiety?

5. How would you rate your current level of physical activity (frequency and intensity)?

6. How would you rate your flexibility and ease of movement in daily activities?

7. How often do you experience pain or discomfort (muscle, joint, etc.)?

8. How would you rate your mood stability throughout the day?

9. How would you describe your appetite (consistency and satisfaction)?

10. How well do you feel you are able to focus and concentrate?

11. How would you rate your hydration levels?

12. How is your respiratory health (breathing comfort, frequency of colds, allergies)?

13. How would you describe your immune system strength?

14. How often do you feel a sense of calm and relaxation in your day-to-day life?

15. How would you rate your skin health (clarity, hydration, overall appearance)?