How To Complete The Comprehensive Wellness Assessment

Welcome! This assessment is designed to help us understand your wellness needs and offer personalized support as part of the Empowerment in Illness community.
Please follow the instructions below carefully:
Step-By-Step Instructions
- Set aside 30 minutes. Choose a quiet space where you can reflect and answer honestly. You’ll be asked about your physical, emotional, nutritional, and lifestyle wellness.
- Answer all questions thoughtfully. There are no right or wrong answers. This isn’t a test – it’s a a compassionate snapshot of your current health symptoms, and challenges.
- Submit the form. Once complete, click “Submit” at the bottom. You’ll receive a confirmation message and our consultants will review your responses to tailor a wellness care map for you.
- What happens next? Within 7-10 days, you’ll receive a summary report and an invitation to schedule a follow-up session with a consultant depending on your need.
Please Note: This Assessment Is For Informational Purpose Only
This assessment is not a diagnostic tool and is not a substitute for medical advice, diagnosis, or treatment. It is intended to guide holistic wellness discussions and help our team understand how to support you through education, resources, and community programs.
Always consult your licensed healthcare provider before making changes to your medications, diet, treatment plan, or wellness routine.
Privacy & Confidentiality
Your privacy is important to us. All responses are securely transmitted to and managed by a third-party provider who is fully compliant with the Health Insurance Portability and Accountability Act (HIPAA). Only authorized wellness consultants will have access to your information for the purpose of providing support. Empowerment in Illness does not store or access your responses.
You are not required to complete this assessment to access Empowerment in Illness resources. Participation is entirely voluntarily, and you may stop or withdraw at any time.
Need help or have questions?
Feel free to reach out to us at empowermentinillness.com. We’re here to support you every step of the way.
