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Goal Survey

Tap in to the power of goal setting!

Writing your goals out and selectively sharing them increases your success in sticking with them!

The following questions will help clarify your health goals.

Thanks in advance for completing this 5-minute survey!

Your privacy is important to me. Responses are confidential - Privacy Policy
1.If there was one thing you could do to improve your health, what would it be?
2.How happy are you with YOUR health and fitness level?
3.What is your BIGGEST CHALLENGE RIGHT NOW you see as a roadblock to maintaining or improving YOUR health?
4.How do you currently receive information about health and well-being?
5.What are your top 3 goals for your health in the next 6 months?
6.What would help you most in order to make positive changes in your health?
7.When thinking about your health, what is the number one thing you know you could be doing right now to improve your health:
8.Which strategies to improve your health have you tried in the past?
9.How do you prefer to receive information about health and wellness?
I prefer this
I do not like this
Not sure
In person. For example, one to one conversation.
Audio. For example, a podcast.
Written. For example, a blog or a book.
Internet search.
Group discussion. For example, a women's only meeting.
Video. For example, Youtube.
10.Complete this section if you're ready to upgrade your health! 

You do not have to provide any or all of this information in order for your survey results to be submitted. SIMPLY CLICK DONE AT THE BOTTOM OF THE SCREEN if you're not interested in hearing more about health from me.

Thank you for participating in the survey!