LVL Holistics
JUMP START STRATEGY SESSION

My Holistic Nutrition Programs are: Completely confidential, customized to fit your individual needs, an effective way to have accountability and help you reach your goals and live a life that feeds your soul.

I know how confusing nutrition can be. With so many different diets out there from Whole30 to Paleo, Gluten-Free, Vegan, Keto, etc. it can be hard to pick one and stick with it. Please know there is not one diet the works for everyone. We all have different bio-individuality and life choices that determine how we live. The goal is to figure out what works best for YOU. You deserve to be excited and enthusiastic about your life, what you eat, and how you feel.

Here are a few things you'll need to think about before starting any holistic nutrition program:

1. You have to be willing to make changes; drop your walls and get outside of your comfort zone and push yourself.

2. You must be open to staying dedicated and embracing the ups and downs. Success does not happen overnight. There maybe a lot of ups and downs during your journey and that's okay.

3. You must be willing to invest in yourself. If you don't value yourself enough to invest in feeling your healthiest, happiest and most confidence than you're either not committed to the process, or you don 't realize the value in it. What would you give to no longer feel bloated and low on energy? What would you give to feel sexy and confident every time you walk into the room? What would you give to feel strong, and confidant in making the right choices for you and your body?

Name
Your answer
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Phone Number
Your answer
Email
Your answer
How did you hear about LVL Holistics?
Your answer
Relationship Status
Your answer
Kids? Pets?
Your answer
Occupation
Your answer
Please list main health concerns
No need to be shy here, trust me I have heard it all!
Your answer
If you could wave a magic wand, and achieve any goals in 3 months, what would they be?
Think as big as you want here
Your answer
At what point in your life did you feel best?
Your answer
Any serious illnesses/hospitalizations/injuries?
Your answer
Do you sleep well? How many hours?
Your answer
Do you have any allergies(food or otherwise)?
Your answer
List any supplements or medications you take
Your answer
What confuses you most about nutrition? Please be specific as possible.
Your answer
How can I best support you?
Your answer
Will friends/family be supportive of your desire to make food and/or lifestyle changes?
Your answer
The most important thing I could do to improve my health is....
Your answer
1-10 how secure do you feel financially-1 being the least 10 being the most? (Coaching is an emotional and financial investment in yourself) * *
How motivated are you to make changes?
List three days and times that work best for your session
Your answer
Anything else you'd like to share?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of LVL Holistics. Report Abuse - Terms of Service