Home About Assessment Wellness Indexes Holistic Wellness Explained Indexes Explained Body Indexes: Lesson Sleep Indexes: Lesson Mood Indexes : Lesson Take Assessment Results Further Assessment Wellness Apps Assessment App Body App Sleep App Mood App ☰ Holistic Assessment MEASUREMENTS IN CENTIMETERS AND KILOGRAMS (1 Inch = 2.54 Centimeters and 1 Pound= 0.45 Kilograms) (science) Gender Male Female Your Ethnicity White European Other Ethnicity Age Height in Meters Weight in kg Neck in cms Waist in cms Thigh Circumference in cms Is Body Fat Percentage Known? Yes No What is Your Body Fat Percentage (If Known)? How Often In last 2 Weeks Feeling Nervous, Anxious or on Edge? Not at All Sure Several Days Over Half The Days Nearly Every Day How Often In last 2 Weeks Unable To Stop Or Control Worrying? Not at All Sure Several Days Over Half The Days Nearly Every Day How Often In last 2 Weeks Worrying To Much About Different Things? Not at All Sure Several Days Over Half The Days Nearly Every Day How Often In last 2 Weeks Trouble Relaxing? Not at All Sure Several Days Over Half The Days Nearly Every Day How Often In last 2 Weeks So Restless Its Hard To Sit Still? Not at All Sure Several Days Over Half The Days Nearly Every Day How Often In last 2 Weeks Easily Annoyed or Irritable? Not at All Sure Several Days Over Half The Days Nearly Every Day How Often In last 2 Weeks Afraid Something Awful Might Happen? Not at All Sure Several Days Over Half The Days Nearly Every Day Do you snore loudly? Louder than talking or loud enough to be heard through closed doors Yes No Do you often feel tired? Feeling fatigued or sleepy during the day Yes No Has you stopped breathing during sleep? For even short periods has anyone or you noticed you stop breathing during sleep? Yes No Is your Blood Pressure High? Take a quick test if you are not certain Yes No Any parent, sibling or child have diabetes? Yes No Hours Asleep Last Night 1 2 3 4 5 6 7 8+ Hours in Bed in Bed Last Night 1 2 3 4 5 6 7 8+ Difficulty Falling Asleep? Select How Difficult You Find It to Fall Asleep(from 0-4) No Problem Mild Problem Moderate Problem Severe Problem Very Severe Problem Difficulty Staying Asleep? Select How Difficult It Is To Stay Asleep After Dropping Off(from 0-4) No Problem Mild Problem Moderate Problem Severe Problem Very Severe Problem Problems Waking Up Too early? Select How Problematic Waking Up Early Is To You(from 0-4) No Problem Mild Problem Moderate Problem Severe Problem Very Severe Problem How Satisfied Are You With Your Current Sleep Pattern? Select How Satisfied Your Feel With How Many Hours Sleep You Get Compared to Time In Bed Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied How Noticeable to Others Do You Think Your Sleep Problem Is? The Degree To Which Poor Sleep Is Impairing The Quality of Your Life in The Eyes of Other People Not at all Noticeable A Little Somewhat Noticeable Much Noticeable Very Much Noticeable How Worried Are You About Your Current Sleep Problem? Not at all A Little Worried Somewhat Worried Much Worried Very Much Worried How Much Does Your Sleep Problem Interfere With Daily Functioning For Example: Daytime Fatigue, Mood, Ability To Function At Work/Chores, Concentration, Memory Not at all Interferes A Little Interferes Somewhat Much Interference Very Much Interference Indexes Too Add SIBO/IBS https://www.usenourish.com/blog/do-i-have-sibo-quiz CIRCADIAN INSOMNIA - lifestyle QQs