Benefits of Membership

Embark on your personalized health journey with our complimentary health assessment. Gain insights into your unique health profile and receive tailored education to enhance your well-being. Join our community and take the first step towards a healthier, more vibrant you.


Health Assessment Form

Have you been diagnosed with any medical conditions? If yes, please specify:

Medical Condition:

Date of your diagnoses

Medical Condition:

Date of your diagnoses

Medical Condition:

Date of your diagnoses

List any medications you are taking (script/otc)

Do you have any known allergies? If yes, please specify:

Lifestyle Factors

Describe your typical daily diet:

How many hours of sleep do you average per night?

Do you engage in regular physical activity? If yes, please describe your routine:

How would you describe your STRESS levels on a daily basis?

Do you drink alcohol?

Additional Information:

What are your PRIMARY Health and Wellness Goals?

Is there anything else you feel it is important for your Health Coach to know about your current lifestyle or Health?

9 + 5 =

Discover the Secrets of Daily Health & Wellness

Unlock the power of a healthy lifestyle with CelluvVive. Our mission is to provide you with the knowledge, tools, and resources to make everyday wellness a priority. With our expert guidance and a wide range of products, you can achieve optimal health and vitality. Whether you’re looking to boost your immune system, improve your fitness level, or simply enhance your overall well-being, CelluVive is here to support you every step of the way. Embrace a wellness journey that will transform your life!

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