Unleash Your Sass Breakthrough Session
Hi friend! I'm so excited to join you in this FREE breakthrough session! Thanks in advance for filling out this survey! Your answers will help me get to know you and your situation a little better, so we can focus our time on building a plan to get you where you want to be! All of your answers will be kept strictly confidential!
Email address *
Full Name *
What is the main thing you'd like to achieve together over the next 90 days? *
What have you tried in the past to accomplish this goal?
Which skills, tools, or habits did you find helpful, if any? (This might include both alternative and traditional treatments or strategies)
What obstacles or challenges are currently keeping you from getting what you want?
How do you imagine having a coach might be helpful to you in reaching this goal? *
Do you have any existing conditions, digestive symptoms, or diet concerns we'll need to take into consideration as we build your customized plan?
Are you currently taking any medications, and if so, what are they for?
Has your healthcare team given you any specific instructions to follow (like eating or avoiding certain foods or making specific lifestyle changes)? *
What are five things you LOVE about your life?
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