Help Me Help You and Others Question Title * 1. How old are you? Under 20 20-29 30-44 45-59 60+ OK Question Title * 2. In general, how would you rate your overall health? Excellent Very good Good Fair Poor OK Question Title * 3. How would you describe your ideal state of health and wellbeing? OK Question Title * 4. What is your biggest health concern (or goal) currently? OK Question Title * 5. What do you feel is holding you back? OK Question Title * 6. How do you feel you could benefit from working with a holistic health coach? OK Question Title * 7. Which of the following are you most interested in? (choose one) One on one individualized support through private coaching that includes all of my healing modalities and training/knowledge relevant for you Group program, where you receive support from myself and an online or in person community Information about food and lifestyle, so that you can make changes on your own Cooking/Baking classes Yoga/Movement classes Energy healing and balancing Wellness retreats/workshops I’m not ready to make changes quite yet Other (Please specify): OK Question Title * 8. Which of the following would you like to learn more about: (check all that apply) Prevention of illness and disease How to prepare healthy food Bone health Increasing energy Optimizing immune system How to reduce cravings How to make healthy choices when eating out Weight loss/gain Aging Reducing emotional eating Stress reduction Detoxification Gut health Movement Balancing hormones Blood sugar balancing Meditation/Breathwork Non dietary changes to improve your overall health and wellbeing Mindfulness Skin care Spiritual healing and energy work Emotional wellbeing Mental health Other (please specify) OK Question Title * 9. If you were/are looking to partner with a holistic health coach to work with you to improve your life experience, what frequency would you be interested in and would be most beneficial? One time offerings (ie. meal plan, ebook, skype consultation, etc) Weekly or bi-weekly support 3-6 month program Ongoing via subscription type program Other (please specify) OK Question Title * 10. If you could ask me anything, what would it be? OK DONE!