Welcome to the Wellness Lifestyle Assessment! 

This form is designed to help you take control of your health and well-being by assessing aspects of your health through the dōTERRA® Wellness Pyramid framework. 

Take your time, answer the prompts truthfully, and use the results as a starting point to identify which dōTERRA products will best support you on your journey toward an optimal wellness lifestyle.

Give yourself a score in each area on a scale between 1–5: 

1: Strongly disagree 2: Disagree 3: Neither agree nor disagree 4: Agree 5: Strongly agree

Nutrition

I eat a healthy, nutrient-rich diet that’s high in whole foods and low in ultra-processed foods.

I’m mindful of my portions. I eat when I'm hungry and stop when I'm full. I avoid snacking between meals.

I use micronutrient & macronutrient supplements to ensure that my nutritional needs are met.

Total Nutrition Score =

Digestion

I’m free from digestive discomfort.

I don’t struggle with food sensitivities.

I make sure to include prebiotic & probiotic foods in my diet at least weekly.

Total Digestion Score =

Movement

I’m physically active, getting at least two hours of moderately intense  activity or an hour of vigorous activity per week.

I do at least two days of muscle strengthening per week.

I give myself time to rest and recover from activities, including gentle stretching and use products to support the recovery process.

Total Movement Score =

Metabolism

I have good energy during the day. I don't suffer from brain fog, sugar cravings, need caffeine or energy drinks.

I use smart supplementation to complement targeted metabolic health effects.

I stay satiated for hours after eating.

Total Metabolism Score =

Rest

I’m getting enough sleep to feel rested and alert the next day.

I have good sleep hygiene practices.

I’m familiar with and use smart supplementation to help on days when sleep is challenging.

Total Rest Score =

Manage Stress

I know my main sources of stress and have adequate resources to manage them.

I have self-care strategies to help manage my stress.

I’m familiar with & use supplements and products that help as I relax and unwind.

Total Manage Stress Score =

Reduce Toxicity

I’m familiar with the most environment toxins & ways to avoid them.

I use nontoxic, eco-friendly products at home & advocate for them with friends and family.

I focus on supporting my body’s natural detoxification process, such as by limiting alcohol intake.

Total Reduce Toxicity Score =

Informed Self-Care

I educate myself on proactive wellness lifestyle habits.

I work hard to continuously support my immune function.

I use smart supplementation to complement self-care efforts.

Total Informed Self-Care Score =

Now you will start to identify health areas where you're doing well and where you may need to make lifestyle changes to improve your overall health.

The larger the gap between what the ideal is and where you scored should help you identify which areas of the Wellness Pyramid to prioritise.

Total Nutrition Score / 15 =

Total Digestion Score / 15 =

Total Movement Score / 15 =

Total Metabolism Score / 15 =

Total Rest Score / 15 =

Total Manage Stress Score / 15 =

Total Reduce Toxicity Score / 15 =

Total Informed Self-Care Score / 15 =

Identify which health goals you’d like to focus on in each category of the Wellness Pyramid:

Nutrition & Digestion

Movement & Metabolism

Rest & Stress Management

Reduce Toxicity

Informed Self-Care

Top 3 Health Priorities I'm Focusing On.