Shop with Me Questionnaire
Shop With Me: Questionnaire
Take this questionnaire so we can learn more about your values, challenges, and expectations before we meet.
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What are the most important health concerns you’d like to address?
Uncovering Your Health Goals
This question has answer options displayed as images. Which one best resonates with you?
A vibrant and lively scene
A soothing, neutral-toned image
A bold and colorful aesthetic
A minimalist and simple aesthetic
This is a multiple-choice question with an image next to the options. Which ones resonate with you the most?
I prioritize speed and efficiency
I value precision and attention to detail
I prefer flexibility and adaptability
I focus on achieving results and meeting goals
*Select one or more options
This is a range-slider question. How would you rate your preference on a scale from 1 to 10?
1 – Not important
10 – Extremely important
Contact Information
This is a contact form. Please provide your contact information below, and we'll get in touch to assist you with any questions or requests you may have.
Full name
Phone number
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