Align: From Hiding to Thriving Questionnaire

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What are your top 3 goals for the next 6 months?

Increase my confidence and body image

Improve my relationships (partner, family, friends)

Achieve career success or advancement

Increase physical energy and vitality

Create a balanced relationship with food and exercise

Overcome emotional or mental blocks

Other:

Required

Do you feel that you have the time and resources to fully commit to this transformational work?

Yes

Unsure

Required

What has been your biggest challenge in achieving your goals so far?

Lack of consistency

Emotional blocks or limiting beliefs

Inconsistent motivation

Struggling with body image or self-worth

Not enough time or energy

Other:

How ready are you to commit to making lasting changes in your life?

Very ready, I’m committed and excited

Somewhat ready, but need guidance and support

I’m still unsure, but open to learning more

Required

What is one thing you are most excited to achieve or transform during our time together?
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