Healthy Lifestyle Discovery Questionnaire
Email address *
Your Name: *
1. Please share your level of health and well-being as it looks now. What's going well and what you would like to improve. *
2. What does a typical day or week of 'Self-care' look like for you (in terms of behaviors contributing to your health and wellness). *
3. What are your biggest frustrations with your health and well-being? *
4. Why do you think this has been a struggle for you? *
5. If I could wave a magic wand and get you the results you want, what would those results look like? *
6. What have you already tried that has not worked? *
7. What is one area of your health you're ready to make a change? *
8. How committed are you to make a change. *
Not at all
I appreciate your time! Please feel free to contact me with any questions you may have. Email: I look forward to speaking with you soon.
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