Stronger U

Live stronger!

Use this reflection to consider your own holistic wellness needs as you age gracefully. Identify the practices that might best support your independence and longevity.

The reflection will be sent to Stronger U coaches upon submission. Please note: these reflections are not for use outside of personal reflection and/or Stronger U pre-coaching assessments. If you are seeking assessment tools for your practice, please email us at  info@strongeruwellness.com and/or fill our our project request form.

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Name *

First

Last

Email *

When I consider my desire to remain independent in my own home, these are my primary reasons: *

• Home is where my memories are
• I am most comfortable in my own home
• I’m closer to my loved ones
• I appreciate having my space
• It is more cost effective over time than assisted living

Use the space below to write any additional reasons that are important to you:

I currently have the following tools and resources to meet this goal: *

• I am able to take care of myself and my primary household chores or I have somebody to help me
• My cognition is stable
• My home is mostly fall-proof
• I am able to take myself or have someone nearby to take me to appointments
• I know where to obtain local support if necessary

Use this space to write any additional resources:

Considering how I use my body to complete my daily tasks (grooming, climbing the stairs, reaching cabinets, caregiving, doing household chores or yardwork, etc), I am feeling confident in these activities: *

Considering how I use my body to complete my daily tasks (grooming, climbing the stairs, reaching cabinets, caregiving, doing household chores or yardwork, etc), I feel like these activities have become more challenging: *

If I have any concerns about being able to remain independent long term, they are currently: *

• Keeping up with household chores or self grooming tasks
• My joints are struggling
• Getting up and down off of the floor / out of chairs
• Climbing stairs or maneuvering other difficult areas
• Getting out of breath easily
• Feeling less inclined to leave the house
• No concerns right now

Use this space to write any additional concerns that are coming up for you:

Thinking about my physical posture and my ability to balance my body in different positions (sitting, standing, rotating, walking, etc.), I am noticing the following: *

If I think about falling, I have: *

• Zero concerns
• Some concerns
• Several concerns

If applicable, these concerns around falling are:

• Losing my independence
• Not recovering as quickly
• Increased aches and pains
• Not being able to do the things that I enjoy
• Not being able to be with the people I love
• Not feeling comfortable in my home.

Use this space to write any additional reasons that are coming up for you:

When I consider my social network, these people are able to support me physically, mentally, and/or emotionally: *

When I consider my social network, I have the easiest access to these people and I am able to rely on them this frequently: *

What I consider my social network, I think I need additional support structures in these areas: *

Reflecting on my answers so far, I hope to maintain or begin working to improve my (check all that apply): *

• Posture
• Balance
• Ability to do activities without (or with reduced) fear of falling
• Activities of daily living.
• Ability to do complex movements like picking up pets or small children, transferring laundry, shoveling snow, reaching high shelves, etc.
• Endurance
• Recreational activities
• Social support network
• Ability to do dream activities like visit new places, learn a new skill, try a new activity, etc.

Use this space to write any additional goals that are coming up for you:

I believe I can do the following to help myself achieve the goals I checked above: *

If I somebody could help me to achieve these goals, I would want them to: *

Submit