Thank you for taking the time to fill out this questionnaire, it really helps me to develop and provide a better service.
Do you have any children?
Yes, if so please state how many and ages in the 'any other comments' section below
How many hours per week do you work on average?
Current personal annual income
What are your hobbies/where do you like to hang out?
What challenges/worries/problems are you facing in your life right now which you would like to solve?
If I could wave a magic wand over your wellbeing what would you like to change and why?
What would it mean to you?
What obstacles and struggles do you regularly come up against when trying to do this on your own?
How motivated on a scale of 1-10 are you to do something about this right now?
What changes/results would you like to achieve in the next 30 days, 3 months and 6 months?
Any other comments
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