Conquer Your Cravings Info-naire
Congratulations! You did it! You took the time to be Curious about You & Getting Help for you! That is a Big Step!!! In order to help you better and discover how to get the most from this Experience, Please answer these questions to the best of your ability! The more honest you are, the better. If you get stumped on a question, take your time, skip it and come back to it. - You can even walk away from the whole form & come back to it - Just keep it open on your computer! I look forward to talking with you more about your answers! Be Well!
Email *
Phone Number (if you want to be called)
Name *
What are your health & wellness goals?
How long have you had these goals?
What has stopped you from reaching these goals thus far?
What has worked for you in the past to reach these goals?
What hasn't worked for you to reach these goals?
What will reaching these goals do for you/ for your family/ for your career/ for your relationships?
If you don't start taking action now, what will life be like 6 month/ 1 year from now?
Is it concerning to you that you haven't yet found a way to reach your goals?
What is this costing you right now to not be at the level of health you desire?
So Why is Now the time to change?
Are you a motivated Self Learner? *
How do you learn best? *
Are you willing to be Accountable for your actions or lack of action? *
Are you ready to apply new habits to your life? *
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