YOUR GOALS: What are the three biggest changes you want to make with your health and eating in the next 3 months? *
Your answer
What are the three biggest changes you want to make with your health and eating in the next year?
Your answer
Your Current Life: On a scale of 1 to 5, 1 being low and 5 being high, rate your satisfaction with the following areas of your life *
1
2
3
4
5
Health
Body Image
Self Confidence
Job/Business
Finances
Energy
Digestion
Hormones
Eating/ Relationship With Food
1
2
3
4
5
Health
Body Image
Self Confidence
Job/Business
Finances
Energy
Digestion
Hormones
Eating/ Relationship With Food
How many other health care practitioners are you working with right now?* *
Your answer
On a scale of 1 to 5 one being a low priority and 5 being a high priority how willing are you to make a significant investment in your health? *
Your answer
Currently, what is your biggest challenge with your health, emotions and/or food? What would you like coaching on? *
Your answer
Where do you want to be with this challenge/health imbalance a year from now? What do you think an ideal solution would be? *
Your answer
What do you think is holding you back?* *
Your answer
On a scale from 1 to 10 (10 being high) how committed are you to doing what it takes to transform your current challenge/health imbalance into your ideal reality? *
Your answer
What would the best time preference for our live group calls? We will do our best to accommodate a time that works for everyone depending on the time zone you are located in.
(Please note your 1:1 private mentorship sessions with Amber will be booked separately to accommodate your unique schedule and time zone.)
*
How Much Are You Willing to Invest in Your Healing for a 6 or 12 month timeframe? *