Wellness Hub Questionnaire

Tell us about your needs

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* 1. What social media platform(s) do you use the most?

Facebook

Twitter

Instagram

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* 2. Please check any that apply/that you would like to address:

· Anxiety

· Autoimmune Disease

· Back Pain

· Confidence

· Decluttering and Organizing

· Depression

· Diet and Nutrition

· Digestive Issues

· Energy/Fatigue

· Exercise/Strength Training

· Flexibility/Balance/Stretching

· Healthy Relationships

· Identity/Purpose

· Inflammation

· Inner Peace/Life Balance

· Joint Pain

· Joy

· Loneliness

· Lyme Disease

· Meditation/Mindfulness

· Menopause

· Motivation

· Sleep

· Spiritual Healing

· Stress Management

· Thyroid Health

Weight Gain/Loss

Other (please specify)

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* 3. What is your biggest pain point/problem that you are dealing with on a day to day basis?

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* 4. What have you tried already to address this pain/problem?

Acupuncture

Chiropractic

Diet & Nutrition Consulting

Energy Healing/Reiki

Functional Medicine

Health Coach

Integrative Medicine

Naturopathic Medicine

Reflexology

Yoga or Yoga Therapy

Nothing Yet

Other (please specify)

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* 1. What social media platform(s) do you use the most?

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* 2. Please check any that apply/that you would like to address:

Question Title

* 3. What is your biggest pain point/problem that you are dealing with on a day to day basis?

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* 4. What have you tried already to address this pain/problem?

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* 5. What topics would you most like to learn more about (in your own words)?