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Check out my new blog here! All the information from my old blog will be here as well as lots of new information. From recipes to relaxation to inspiration – come on in and see what`s new!

 

 

 

 

 

 

 

 

 

 

Please complete and submit the form below.

Getting Started Questionnaire

Name:
Email:
Phone:
1. What health issues are you currently facing?
2. Are you a smoker?
a. If Yes, how much do you smoke?
b. If Yes, are you willing to quit now?
3. What has motivated you to seek my help?
4. On a scale of 0 -10, where 0 is “Not committed at all” and 10 is “very committed”, how committed are you currently to your health?

5. Please list the 5 items listed below in the fields to your right in order of priority:
a. Health
b. Family
c. Friends
d. Work
e. Exercise



6. If “Health” is not your first priority, are you ready to make it your first priority? If not, please explain.

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