Discovery Questionnaire

 

Get a free session questionnaire

FOR a free consultation kindly fill out the form below with clear and thoughtful responses and submit. I will send the available times for you to book your session.

WHAT IS YOUR AGE
WHAT IS YOUR BIGGEST MENOPAUSE OR GENERAL HEALTH CONCERNS RIGHT NOW?(
LIST THREE WAYS THIS IS AFFECTING YOUR LIFE?
WHY DO YOU WANT HELP NOW TO ADDRESS THESE CONCERNS?
ARE YOU UNDER THE CARE OF A DOCTOR RIGHT NOW FOR ANY MEDICAL CONDITION OR TAKING ANY PRESCRIPTION MEDICATIONS? YesNo
ARE THERE ANY CHALLENGES YOU EXPERIENCE IN YOUR DAY TO DAY LIFE THAT ARE KEEP YOU FROM ACHIEVING YOUR GOAL?
WHAT ARE 2 OR 3 THINGS YOU KNOW YOU COULD BE DOING FOR YOUR WELLBEING THAT YOU ARE NOT CURRENTLY DOING?
ON A SCALE OF 1-5 HOW COMMITTED ARE YOU TO MAKING DIET & LIFESTYLE CHANGES YOU NEED TO HAVE THE HEALTH AND WELLBEING YOU DESIRE?
IF YOU HAD SOMEONE GUIDING YOU ALONG THE WAY TOWARDS YOUR GOALS, IS THAT SOMETHING YOU WOULD FIND HELPFUL? YesNo
ON A SCALE FROM 1-5, HOW READY AND WILLING ARE YOU TO FINANCIALLY INVEST IN A COACHING RELATIONSHIP?
Which coaching are you interested in?
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