Zero Gravity - Credit Union: Select Your Wearable

Starting Program Survey

This is an important step to get a qualifiable metric on where you are right now.

Email *

What quadrant do you feel is your number one disabling mechanism? *

Restorative & Regenerative

Mindfulness & Awareness

Movement & Energy

Performance Nutrition

On a scale of 1-10, rate your Quality of Life *

On a scale of 1-10, how are your relationships with your colleagues? *

How many days a week do you exercise/move your human? *

On a scale of 1-10, rate your average Mood over the past month *

On a scale of 1-10, rate the quality & quantity of what you eat and drink *

On a scale of 1-10, rate your Energy upon wakening *

On a scale of 1-10, rate your quality of Sleep *

On a scale of 1-10, rate your Energy throughout the day *

On a scale of 1-10, rate your ability to handle Stress *

What area would you like to improve with your human? *

Cognition

Brain Fog

Ability to retain information

Ability to handle stress

Clear Decision Making

More energy throughout the day

More energy level upon wakening

Improved Sleep Quality

Improved Recovery

Improve overall wellbeing

Improve mental health

Other