This is 100% CONFIDENTIAL.  Your privacy is important.

Take 2 minutes to complete this survey by Jan. 17th and be entered to win 3 FREE HEALTH COACHING SESSIONS with me! ($597 value)

I want to know how I can support you more so you can have a deeper understanding of what's going on with your health to really fix the issues once and for all, and back to feeling like yourself again.  

Your Partner in Health
Jenn Malecha
The (W)holistic Health Boss

Question Title

* 1. What health challenges keep you from achieving your ideal health and weight? (select all that apply)

Question Title

* 2. What is your number one biggest struggle when it comes to your health and feeling your best?

Question Title

* 3. What has been the most frustrating part of your health journey?

Question Title

* 4. What things or programs have you tried to improve your health and get back to feeling like yourself again? Did it work for you? Please share your experiences here.

Question Title

* 5. Is there anything in your life (relationships, business or other) that suffer because your health holds you back or slows you down in some kind of way?

Question Title

* 6. What are you just DYING to learn or know more about in order to create a lifestyle that supports your ideal health and weight? If someone could swoop in and help, what would you want answers to? (select all that apply)

Question Title

* 7. Which types of events, offerings, and programs pique your interest? (select all that apply)

Question Title

* 8. What social media outlets do you use to find health information and/or to get accountability and support from? (select all that apply)

Question Title

* 9. Who else do you look up to or follow for health information, insights and inspiration?

Question Title

* 10. Are you male or female?

Question Title

* 11. What is your age?

Question Title

* 12. Feel free to leave any other suggestions or comments.  All feedback is appreciated!

Question Title

* 13. Enter your full name and email address to be entered to win 3 FREE COACHING SESSIONS ($697 value) with me!

T