homeostasis-questionnaire

[homeostasis_dashboard]

Homeostasis-Based Body & Mind Balance Questionnaire

Has your weight fluctuated significantly (more than 5% of your body weight) in the past 3 months?
Yes
No

How much water do you drink daily?
Less than 1 liter
1-2 liters
More than 2 liters

How would you describe your daily energy levels?
Extremely fatigued
Frequently low
Consistently high

On average, how many hours do you sleep per night?
Less than 5 hours
5-6 hours
7-8 hours

How often do you experience digestive issues (e.g., bloating, constipation, diarrhea)?
Often
Sometimes
Never

How balanced is your diet?
Unbalanced
Moderately balanced
Very balanced

How often do you engage in moderate to vigorous physical activity?
Never
1-2 times per week
3-4 times per week

How many alcoholic drinks do you consume per week?
More than 7
4-7
1-3

How much time do you spend outdoors daily?
Less than 30 minutes
30-60 minutes
More than 2 hours

How would you rate your average stress level over the past month?
Very high
High
Low

How often do you experience mood swings or irritability?
Often
Sometimes
Never

Do you practice relaxation techniques (e.g., meditation, deep breathing, yoga)?
Never
Occasionally
Daily