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About
Team
HQ In The News
Financials
FAQ
Our Impact
Find Support
Take A HeadQuiz
Local Events & Resources
Mental Fitness Coaches
Mental Health Fund
Provider Directory
Mental Fitness Toolbox
Events
Get Involved
Get Inspired
Donate
About
Team
HQ In The News
Financials
FAQ
Our Impact
Find Support
Take A HeadQuiz
Local Events & Resources
Mental Fitness Coaches
Mental Health Fund
Provider Directory
Mental Fitness Toolbox
Events
Get Involved
Get Inspired
Donate
About
Team
HQ In The News
Financials
FAQ
Our Impact
Find Support
Take A HeadQuiz
Local Events & Resources
Mental Fitness Coaches
Mental Health Fund
Provider Directory
Mental Fitness Toolbox
Events
Get Involved
Get Inspired
Donate
HeadQuiz
Step
1
of
2
50%
I have a fulfilled and intimate romantic relationship that supports my emotional and physical wellbeing. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I surround myself with people that energize me and are supportive of my goals and accomplishments. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Having hobbies and learning new subjects of interest plays an important role in my life. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I frequently take part in self-care activities that fill my cup up and support my interests. Examples: creative endeavors, traveling, hiking, massages, facials, baths, reading, attending lectures, going to the theater, sporting events, journaling, etc. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Volunteering and giving back are important aspects of my life. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I enjoy helping others; making time and holding space for the people I care about is important to me. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Hidden
Social Total
(Required)
I am in control of my life and handle stressful situations that may arise with a calm confidence. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I am aware of my emotions and can identify my feelings easily by setting healthy boundaries and expressing my feelings comfortably and clearly. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I like to keep my mind sharp and engaged by educating myself and learning new things. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
My past doesn't define me. I don't let limiting beliefs and self-sabotaging thoughts stop thoughts to stop me from reaching my goals. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I am often in search of my true self and my life's purpose to lead a meaningful and fulfilling life. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I have gratitude for all I have experienced in my life, the good, the bad and the ordinary. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Hidden
Emotional Total
(Required)
Movement and attending to physical fitness are big parts of my everyday life. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I sleep well at night and wake up feeling refreshed and energized. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Generally I eat a nutrient dense diet and keeping a healthy lifestyle is important to me. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I am maintaining proper hydration by drinking enough water each day. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I regularly spend time in nature and enjoy outdoor activities alone or in groups. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
My living spaces and work spaces are organized and clutter free. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Hidden
Physical Total
(Required)
My upbringing around money was positive and healthy. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Money serves a purpose in my life for me to do the things that are important to me and take care of myself and those I love. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I am inspired by and take great pride in the work that I do in my career or business. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I am able to have a good work/life balance. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I am satisfied with my financial accomplishments and its future prospects. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
I manage my finances well and have a disciplined approach to my spending and savings. (1-10)
(Required)
1
2
3
4
5
6
7
8
9
10
Hidden
Financial Total
(Required)
Email
(Required)
Name
(Required)
Full Name
Select Your Age Range
(Required)
Under 18
18-24
25-34
35-44
45-54
55-64
65-plus
City of Residence
(Required)
Aspen
Snowmass
Basalt
Carbondale
El Jebel
Rifle
New Castle
Glenwood Springs
Parachute
Silt
Woody Creek
Other
Name of Employer
Alpine Bank
Aspen Valley Hospital
Name of Employer
