Begin Your Wellness Journey

Congratulations on taking the next step on your wellness journey- to create sustainable shifts in your habits to live your most vibrant life!

Please complete the form below so you can start to feel amazing!

Name

First Name

Last Name

Phone

(###)

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If you could snap your fingers right now and be the healthiest version of yourself, what would that look like?

(& What have you done to make this happen?)

What are some things you would need to change right now to become who you've envisioned?

How has your diet changed over the years? What are you eating for meals these days?

Do you feel confident in your body?

(If not, when is the last time you did and why?)

What obstacles, challenges and struggles are impeding your ideal diet/lifestyle?

How would you rate your daily stress level on a scale of 1-10 and why?

Describe your relationship with rest and sleep.

How do you feel about your relationships with your family, friends and community?

If you prepare meals at home for children, do you feel that you're making good choices to encourage generational health?