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What are your health and wellness goals?

Select all that apply

Manage weight effectively
Enhance digestion and gut health
Improve energy and overall metabolic health
Optimize nutrition and meal planning
Support long-term wellness and anti-aging

How would you describe your current energy levels?

I often feel fatigued and struggle to get through the day.
I have moderate energy but feel dips in the afternoon.
I feel consistently energized but could use a boost for workouts or long days.

How would you rate your digestion and gut health?

I experience frequent bloating, discomfort, or irregularity.
My digestion is okay, but I occasionally experience issues.
My digestion feels great most of the time.

How do you feel about your weight management progress?

I am actively working to lose weight and need support.
I am maintaining my weight but want tools to optimize my results.
I am satisfied with my weight and focused on overall health.

How often do you prepare balanced, nutrient-rich meals?

Rarely – I struggle with meal planning and prepping.
Sometimes – I try but find it challenging to stay consistent.
Often – I feel confident in meal preparation but would like expert tips.

How interested are you in personalized support from a nutritionist?

Very interested – I want tailored meal plans and expert dietary advice.
Somewhat interested – I’d like occasional tips to improve my eating habits.
Neutral – I feel confident managing my nutrition on my own

How interested are you in personalized support from a wellness coach?

Very interested – I want a coach to guide and motivate me toward my goals.
Somewhat interested – I’d like occasional check-ins and accountability.
Neutral – I feel confident managing my wellness journey on my own.

Wellness Coaching Boosts Health Goal Success by 2.5x

Individuals working with a wellness coach are 2.5 times more likely to achieve their health goals, including weight loss, than those without one. (Health Coaching Research Report, 2023)

 

Are you 18 or older?

Yes
No

What is your gender

Male
Female

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