52 Small Changes

Personal Information

Welcome to the 52 Small Changes Assessment!

This assessment asks questions that pertain to diet and nutrition, fitness and prevention, mental wellbeing and green living. Once completed, you'll receive feedback so that you have a baseline from which to start the 52 Small Change program. The assessment takes 10 to 15 minutes to complete. If you find that you don't have time to complete it in its entirety, you can save your progress and continue later by clicking on the link that says "Save and Continue Later" located on the top of the page.

Please be as accurate and honest as possible to ensure valuable and relevant feedback. All information and results will remain confidential.

PLEASE NOTE: This assessment is a high-level overview and baseline from which to start the 52 Small Changes program. It does not take into consideration age, geography or medical conditions. It is based purely on lifestyle decisions, and meant to drive awareness of things you should be thinking about.

Email: *This question is required. This question requires a valid email address.

First Name *This question is required.

Last Name *This question is required.

Gender: *This question is required.

Please note that this assessment is in no way a substitute for medical advice or treatment. In taking this assessment you do not hold Brett Blumenthal or Be Healthy, Inc. liable. The information and questions contained in this assessment are intended to provide helpful and informative material on subjects addressed in 52 Small Changes. It is not intended to serve as a replacement for professional medical advice. Any use of the information in this assessment is at the participant's discretion. The author and publisher specifically disclaim any and all liability arising directly or indirectly from the use or application of any information contained in this assessment. A health-care professional should be consulted regarding your specific situation. You should consult a doctor before embarking on any new health regimen. *This question is required.

By checking this box, which registers you with Brett Blumenthal Studio, you agree to the terms outlined above.