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Question 1 of 9
What is your name?
Question 2 of 9
What about your health and body is keeping you awake at night? What is making you anxious, frustrated, and discouraged? Yes, list them all.
Question 3 of 9
What is your #1 most urgent pressing issue/pain point in your health/body and/or life? This is an issue or “hole” that if it was solved or filled, you would feel a great sense of relief and empowerment.
Question 4 of 9
What do you desire for your body, energy, health and life more than anything else?
Question 5 of 9
What do you think is holding you back from reaching these goals? Is it a skill set, knowing how to do the thing, time, energy, money, etc…?
Question 6 of 9
Current time and life breakdown? Breakdown how your time is spent each day (i.e. Sleep from 11-7, Kids from 7-9, Work from 9-5, Kids and Domestics from 5-9, TV from 9-11)
Question 7 of 9
Average time spent each day thinking about how you feel in your body?
Question 8 of 9
How much time are you willing to commit each day to your health and body goals?
Question 9 of 9
What is your Instagram handle in case I need to find you?