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* 1. On a scale of 1 to 5 (5 being Excellent), how would you rate your overall health and fitness?

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* 2. Currently, how often do you make time for physical activity?

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* 3. Using any number from 0 to 10, where 0 is the least important, how important would you rate an attention to good physical and mental health?

  10 Extremely Important 9 8 7 6 5 4 3 2 1 0 Not very important
.

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* 4. Is there a health center or gym within 5 miles of your home?

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* 5. What is the biggest obstacle to you incorporating a regular health regime into your daily life

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* 6. Have you considered or taken advantage of Health and Life Coaching from a certified professional in the past?

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* 7. Have you ever used Meal Planning as a means to control portion and intake of more healthy food options

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* 8. Have you ever considered yoga as a part of a regular fitness regime?

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* 9. Thinking about yoga, what of the benefits below would be most intriguing or would you benefit most from if you were to participate in yoga?

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* 10. If you were given a no cost opportunity to explore yoga a part of a regular health routine, would you consider it

T