Thrive Assessment We start with my Thrive Assessment to get a clear picture of where you are today, in THIS moment. Step 1 of 8 - General Information 12% Name First Last Date of birth (optional) MM slash DD slash YYYY Cell PhoneEmail Emergency Contact NameEmergency Contact CellWhat are five words you would use to describe yourself and why?Looking back over the last 6-12 months, what are you most proud of and why?What would you like to discontinue (if anything) so that you can be more effective?What would you like to keep doing so that you continue to be effective?What would you like to start doing so that you will be more effective?What would be the best possible outcome of our coaching time together? The SAVOR Method Everyone’s health and happiness needs differ. If you think about it, “health” and “happiness” can be dizzying concepts. What do they mean? I use the SAVOR method to help clients understand and explore health and happiness. It brings awareness to key elements in their lives, which may vary for everyone. We're all unique, from cellular details to age, family, and occupation. What helps one person thrive may not work for another. The SAVOR framework is helpful, though defining specific elements can be tricky. Think of these elements as constructs—complex ideas made of conceptual parts. It’s like the weather, which combines factors like cloud cover, temperature, humidity, and wind. Each element affects the others and forms the whole. SO, HOW DOES THIS APPLY TO HEALTH AND HAPPINESS? Each element of the SAVOR Framework can be defined independently, but it influences others. Let’s dive in! SUSTENANCE: EATING BEHAVIORS AND NUTRITIONEating Habits:How many meals and snacks do you typically eat per day? 1 2-4 4+ Other Food Choices:What types of foods do you usually consume for breakfast?What types of foods do you usually consume for lunch?What types of foods do you usually consume for dinner?What types of foods do you usually consume for dessert?What types of foods do you usually consume for snacks?Special Diets or Restrictions:Are you currently following any specific diet? Vegetarian Vegan Kosher Halal Gluten-Free Keto Flexitarian (primarily plant-based with occasional meat and fish) Mediterranean Low Calorie WW Palio Plant Based DASH None Other Hydration:How much water do you typically drink per day? Drinking water is last on my list of to-dos I try - a glass here and there. I’m a champion water drinker! At least 64 ounces a day! It’s erratic - hit or miss. Other Nutrition Goals:What are your primary nutrition goals? Weight management Improved energy Balanced diet Nutrient Specific (increased protein, reduced sodium, fiber, micronutrients) Health (cholesterol management, blood sugar, heart health) Performance (muscle building, recovery) Lifestyle (more whole foods, meal timing) Sustainability and Ethics ACTIVITY: MOVING YOUR BODYCurrent Activity Level:How would you describe your current activity level? Sedentary Lightly Active (light exercise/sports 1-3 days/week) Moderately Active (moderate exercise/sports 3-5 days/week) Very Active (hard exercise/sports 6-7 days a week) Super Active (physical job, training twice a day) Other Describe your typical weekly exercise routine (type of activities, frequency, duration):The exercises and activities I enjoy the most are:If I were to try something new and experiment with moving my body, I would try: Cardiovascular exercise (running, cycling, swimming, rowing, brisk walking, jump rope) Strength Training (weight lifting, body weight exercises) Interval Training (Circuit training, sprint, Tabata, HIIT) Mind-Body (i.e., Yoga, Pilates) Group Fitness (Step, Barre) Social Fitness (Pickleball, tennis, bowling) Barriers to Exercise:What challenges, if any, do you face when trying to exercise? Time Money Lack of Enjoyment Injuries Chronic Illness Other Fitness Goals:What are your fitness or activity goals? Weight Loss Muscle Building Flexibility Endurance Stress Management Athletic Performance Toning Balance Coordination Increased Mobility Mental Health Injury Recovery Functional Improvement Training for Specific Events Other VARIABLES: MEDICAL AND GENETIC NUANCESAre there any medical and genetic influences that need attention? Are there any health concerns you’d like to address in our sessions?Are you currently diagnosed with any chronic health conditions?(e.g., diabetes, heart disease, high blood pressure).Family Health History:Do you have a family history of any significant health issues?(e.g., cancer, heart disease, diabetes). Please specify:Medications and Supplements:Are you currently taking any medications or supplements?Please list: ORGANIZATION: STRESS MANAGEMENTStress Management:Current Stress Levels: 1 (Completely Overwhelmed) 2 3 4 5 (Completely Chill) What methods do you currently use to manage stress?(e.g., meditation, exercise, hobbies, alcohol, eating)Sleep:How many hours of sleep do you get on an average night? Less than 6 6-8 8+ Do you have trouble falling or staying asleep? Yes No Sometimes REFUELMENT: WHAT HELPS YOU THRIVESelf-Care Practices:What elicits positive emotion in your life?What do you currently do for self-care?(e.g., reading, baths, journaling)What activities do you become wholly absorbed in?How is your social health? What is your ability to interact and form meaningful relationships with others?What gives you a sense of accomplishment?Barriers to Self-Care:What challenges do you face in making time for self-care?Goals for Thriving:What does “thriving” mean to you, and how can we work together to achieve that? WORKING TOGETHERFor your sessions, do you prefer: Talking via the phone Texting Zoom Combination In-person if in the Charleston, SC area Technology can be an effective tool for achieving your health and happiness goals. Do you currently use apps, devices, platforms, or technology like Fitbit, Apple Watch, or MyFitness Pal? Please list.Are you interested in using technology as a tool? Yes No Maybe Depends On a scale of 1-10, how ready are you to work towards your goals to help you thrive? 1 Nope - not at all 3 4 5 6 7 8 9 10 All in - let's go! Additional Information:If you were your own coach, what advice would you give yourself?Is there anything else you would like to share that could help us in your health coaching journey? Δ
