Questionnaire

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What do you feel you need help with? Describe your issue. What do you feel we need to know about you to help you?

How would you rate your physical health? (1 through 5)

Emotional Health sad (1) vs. happy (5)

Mental Health anxiety/brain fog (1) vs. relaxed/clarity (5)

Spiritual Health (empty (1) vs. fulfilled (5)

Are you ready to optimize your body-mind, your vitality and connect with the world?

Do you have a budget to enhance your vitality?

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