Mastering The Three Treasures 6 Month Coaching Program
Please Enter Your Full Name and Date of Birth
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Please Enter your Phone Number and Email *
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What are your main health/life goals? *
List 3-5 goals in order of importance. 1.) Physical 2.) Mental/Emotional/Relationships 3.)Spiritual/States of being 4.)Career/Livelyhood
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Describe your life in it's ideal state mentally, physically, emotionally, spiritually? *
What does your life look like once you have achieved your goals? Include sights, smells, sounds, feelings to describe this.
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How would you describe your sleep? *
Restful? How many hours a night? Trouble falling asleep? Trouble staying alsee
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Do you experience pain or discomfort in your body? *
List location of pain? Severity on a scale from 1-10(10 the most intense) How often does the pain come and how long does it last?
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How would you describe your sex life?
Share as much or as little as you like. Sexual energy is the basis of all other life energy so it can be helpful to know about this.
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How do you feel after eating? *
Energized? Tired? Gas? Bloating? Burping?
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Describe your meals & eating habits? *
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What are you willing to do to get the results you want? *
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Assuming we are a fit to work together, are you ready to invest in your growth?
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