The Overcome Agenda: Pre-session Assessment
Thank you for your registration to this charity event. Please answer the following questions in preparation for our wellness session.
Email *
Name (First and Last Name) *
Email *
Mobile Number
Quiz Questions
OVERWHELM: Do you feel moments when you lost control of distressful emotions for more than 2 weeks (i.e. rage, grief, etc.)? *
1 point
OVERWEIGHT: Do you use food to fee better or to reverse unpleasant or painful feelings ? *
1 point
OVERWORK: Do you feel you do not have enough time for yourself or your self-care? *
Post a question to Dr. Marga about your current life challenges
Ask or discuss details of what is bothering you most right now in your life, health,  relationship, finances, business, time management, etc. Dr. Marga will contact you after the session to connect.
Write your question or discuss your personal concern below. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy