Vanessa Rogers' Mind-Body Nutrition 60-Day Program: Goals and Intentions Form
Improvement of my health & wellness is a top priority in my life right now. *
Please share a brief summary of your food story & history in your health and wellness journey. What has worked? What has been difficult? *
Your answer
I want a lasting solution and not a "quick fix." *
I recognize that it would be helpful to have a guide lead me in the right direction on this food + body journey. *
I have struggled with building and keeping healthy habits. *
The food, health and/or body challenges I have experienced have impacted my life in the following way: *
Your answer
I am willing to show up for myself, even when I'm not perfect. *
Three things that could derail my ability to reach my health goals are: *
Your answer
If you take no action and do not change anything with regard to your health and wellness, what could happen? *
Your answer
I believe in the power of the Universe.
Three qualities about me that will help me be successful in reaching my health goals are: *
Your answer
Describe your biggest, wildest dream for your body and your health: *
Your answer
I want to create change! I want to be free! *
I keep my word: *
Once I have surpassed my dreams and goals on this health journey and I'm feeling healthy, confident and energetic, I will be able to: *
Your answer
I am ready and willing to do the work to get where I want to go! I am worth it! *
Please enter your email address *
Your answer
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