Inner & Outer Ecology Priority Questionnaire
By filling the form below you will submit important information that will help me have a clear picture of how to best serve you during your free regenerative lifestyle design session.
1. First Name
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2. Last Name
Please type your last name
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3. Company Name
Please type your company name (optional)
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4. Email
Enter your email address below
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5. Phone Contact
Enter your best contact phone #
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6. Leadsource
Please let me know how you found me
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7.Personal Priorities For Inner & Outer Ecology
What would you say is your main priority?
8. What Would You Like The Most Support With
What would you say is your most immediate need
What’s your biggest frustration or "challenge" about your life right now?
Think about what’s your biggest fear when it comes to not overcoming your biggest frustration Or "Challenge"
Your answer
What have you tried so far that hasn’t worked for you?
What worries you that will happen if you don’t do something immediately
Your answer
What would you be willing to do to solve your CHALLENGE?
If you could have one question answered about your CHALLENGE, what would it be
Your answer
Free of all limitations, what is your ideal lifestyle?
If you had a magic wand, what would you create. This is your ultimate lifestyle vision
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How will this impact your health?
your energy level, how you feel, how you look
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How will this impact your relationships?
Would it improve the quality of your relationships how?
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How much longer can you see yourself living?
Why is this important?
Your answer
What would a longer, happier and healthier quality of life give you?
What would be the best or most satisfying part of that?
Your answer
What's been holding you back of living the ultimate vision of the lifestyle you want ?
What's been getting in our way
Your answer
What are the biggest obstacles to achieving it?
What is most difficult about what you've been experiencing?
Your answer
What's it like where you are now?
What's been most painful?
Your answer
What is one of the biggest inner obstacles you're facing?
What is the impact of that obstacle or challenge, How does that feel?
Your answer
What is one of the biggest outer obstacles you're facing?
What is the impact of that obstacle or challenge, How does that feel??
Your answer
What do you believe it's going to take to get from where you are now to the ultimate results you want?
Your answer
As you imagine yourself moving forward from where you are now toward your ultimate vision, what do you imagine is going to be most challenging about that journey?
Your answer
What strategy or strategies do you believe will be most important to your success?
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What Service Options Would You Like To Experience ?
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