The Melina Method Client/Guest Questionnaire
Thank you for taking the time to fill out this Client/Guest Questionnaire.
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First and Last Name *
Phone *
Email *
What is your Instagram Handle? *
Why are you interested in being a guest on The Melina Method Show? *
What is your business/brand?
If you got a guest spot on The Melina Method Show, what would you like to talk about? *
Confidence Check → On a scale of 1–10, how confident do you feel in your body and lifestyle right now?
*
Not Confident Whatsoever
Very Confident
Movement Method → How many days a week are you actually moving your body right now?
*
Fuel Method → What does your go-to snack or meal usually look like?
*
Supplement/Peptide Method → Do you take supplements and/or peptides? List below.
 *
Stress Method → What’s your first response when stress hits — do you shut down, push through, or find a release?
*
Biggest Block → If you had to name one thing holding you back from your health/fitness goals, what would it be?
*
Dream Support from Melina → If you could work 1:1 with me, what would you want the biggest shift to be in your life and/or brand/business?
 *
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