Shop with Me Questionnaire
Let's Get to Know You
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
Which selection best resonates with you most mornings out of the week?
Uncovering your health through habits
A slow, thoughtful morning. Meditation, movement, breathwork.
A bit hectic, rushing. Still some thought
Hit snooze, low energy, difficult to wake up. Not enough
A
*Select one or more options
What obstacles have you encountered that have affected your health?
Uncovering your health goals
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
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