How is your health?
Thank you for participating in my survey. All responses are anonymous and not at all related to your email or social media accounts. Responses are completely anonymous. This data will be used purely by me to help provide better heath care solutions for people and will not be sold or provided to others.

I am developing my holistic health coaching practice and am creating packages that will best help people like you. I am searching for ways to make sure I will provide you with exactly the tools and support you need to live your life with confidence, energy and in good health!

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What is your gender? *
What is your age? *
Do you have children? *
What is your relationship status? *
Please choose one. We don't judge, go you!
What are your main health challenges right now? *
Please pick your top 3.
Required
What have you tried so far to help with your health issues? *
Required
If you have used any websites to assist with your health concerns which sites were they?
What health products/services do you buy? *
Required
If you have read any books or magazines to assist with your health challenges, what did you read?
What are the top 3 values important to you right now? *
Please pick 3
Required
How fully are you living in accordance with your values? *
Not at all
Fully
If you could wave a magic wand and resolve one part of your life, which would it be, and why?
What is your biggest frustration that you would do anything to solve? *
What is the main obstacle that has been in the way of achieving your health goals? *
What motivates you the most? *
How much time do you spend on yourself in a typical week? *
Your personal hobbies, interests and self care.
How much money do you spend on yourself in a typical week? *
On hobbies and fun, not on bills or essentials
What do you want most in Life?
Apart from world peace :-)
Would you be willing to participate in a further survey in future? *
Would you like an email to recieve a monthly newsletter? *
If you answered 'Yes' to either of the two questions above please fill out your name and email address below
Please let me know below if you have any other health concerns that you would like help to solve, anything you have not mentioned or any other suggestions about how I can help you with your health.
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