Your Health Journey Survey

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1. Please answer all questions honestly. Rest assured, your information will be kept confidential.

Please answer all questions honestly. Rest assured, your information will be kept confidential. Name:
State:
Email Address:
Phone Number:

2. If you could have anything you want from a Health Coach what would it be?

If you could have anything you want from a Health Coach what would it be?

3. What are your 5 biggest obstacles to having optimal health and happiness?

What are your 5 biggest obstacles to having optimal health and happiness? 1.
2.
3.
4.
5.

4. What would you like to learn more about or what would like to move towards in your own health journey?

What would you like to learn more about or what would like to move towards in your own health journey?

5. What would like to move away from?

What would like to move away from?

6. Currently I offer Individual Health Coaching, a 10-Week Group Program and the 7-Day Sugar Detox. Are there any other products or services you would like to see me offer? If so, what are your suggestions?

Currently I offer Individual Health Coaching, a 10-Week Group Program and the 7-Day Sugar Detox. Are there any other products or services you would like to see me offer? If so, what are your suggestions?

7. What problems or frustrations do you have with what I offer now?

What problems or frustrations do you have with what I offer now?

8. Do you currently receive my weekly newsletter with articles, recipes and event updates?

Do you currently receive my weekly newsletter with articles, recipes and event updates? Yes, I do, thanks!

No, but I'd like to receive it. Please sign me up.

No, I am not interested at this time.

9. Anything else you'd like to share?

Anything else you'd like to share?

I appreciate your guidance in helping me improve as a Health Coach.

You are now eligible to receive a 30-minute Nutrition Breakthrough Session (a $63.00 value). I only have 10 spots available, so I'll be in touch soon to let you know if you're one of my lucky participants.

Be Well,

Richele Henry, CHC
www.RicheleHenry.com

Your Health Journey
Exit this survey

1. Your Health Journey

*
1. Please answer all questions honestly. Rest assured, your information will be kept confidential.

2. If you could have anything you want from a Health Coach what would it be?

3. What are your 5 biggest obstacles to having optimal health and happiness?

4. What would you like to learn more about or what would like to move towards in your own health journey?

5. What would like to move away from?

6. Currently I offer Individual Health Coaching, a 10-Week Group Program and the 7-Day Sugar Detox. Are there any other products or services you would like to see me offer? If so, what are your suggestions?

7. What problems or frustrations do you have with what I offer now?

8. Do you currently receive my weekly newsletter with articles, recipes and event updates?

9. Anything else you'd like to share?

Your Health JourneyExit this survey

1. Your Health Journey

*1. Please answer all questions honestly. Rest assured, your information will be kept confidential.

2. If you could have anything you want from a Health Coach what would it be?

3. What are your 5 biggest obstacles to having optimal health and happiness?

4. What would you like to learn more about or what would like to move towards in your own health journey?

5. What would like to move away from?

6. Currently I offer Individual Health Coaching, a 10-Week Group Program and the 7-Day Sugar Detox. Are there any other products or services you would like to see me offer? If so, what are your suggestions?

7. What problems or frustrations do you have with what I offer now?

8. Do you currently receive my weekly newsletter with articles, recipes and event updates?

9. Anything else you'd like to share?

Your Health Journey
Exit this survey

*
1. Please answer all questions honestly. Rest assured, your information will be kept confidential.