BACK2NEW WELLNESS™

Client Pre-Audit (Quick Wellness Check)**
Time to complete: 2–3 minutes

This short pre-audit helps us understand your immediate wellness needs so we can guide you toward the right level of support.

1. Recovery Status

Which statement best describes you right now?

☐ I am actively recovering from a recent health event (e.g. stroke, cardiac event, surgery)
☐ I have recovered but still experience ongoing limitations or concerns
☐ I am not in recovery but want to protect my health
☐ I am unsure where I fall

Purpose (internal): Identifies Recovery vs Prevention priority

2. Current Health Concerns

Which of these are you currently managing? (Select all that apply)

☐ High blood pressure
☐ Weight concerns
☐ Chronic stress or burnout
☐ Fatigue or low energy
☐ Sleep problems
☐ None of the above / unsure

Purpose (internal): Identifies risk clustering

3. Daily Lifestyle Confidence

How confident do you feel about your daily lifestyle choices supporting your health?

☐ Very confident
☐ Somewhat confident
☐ Not very confident
☐ Overwhelmed and unsure where to start

Purpose (internal): Assesses care readiness & coaching intensity

4. Nutrition & Habits Snapshot

Which statement best fits your current habits?

☐ My eating and routines are mostly supportive of my health
☐ I know what I should do, but struggle to be consistent
☐ My habits often work against my health
☐ I haven’t given this much thought

Purpose (internal): Identifies behavior–knowledge gap

5. Primary Wellness Need

What do you feel you need most right now?

☐ Support with recovery and rebuilding strength
☐ Guidance to prevent future health issues
☐ Help creating healthier routines and habits
☐ Someone to help me make sense of it all

Pre-Audit Outcome (Coach Use Only)

Based on responses, client pathway:

☐ Recovery-Focused Coaching
☐ Prevention-Focused Coaching
☐ Lifestyle Care & Support Coaching
☐ Proceed to Full Wellness Audit

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Start your Wellness Pre-Audit

Download your copy of the Mini A-to-Z of Wellness