tell me about you

 

1. Email address *

 

2. Age group *

 

3. Tell me about your current life , habits , day to day?

 

4. What do you struggle with the most in your daily life? *

 

5. Do you have any idea what might trigger this?

 

6. On a scale of 1-10 how much does this make your day to day life hard? *

 

7. Can you tell me the last time you truly felt good about yourself , if so what was this? What were you doing?

 

8. When was the last time you felt you could conquer anything in life?

 

9. Do you feel there is anything you could do to change right now to make you feel alive and happy every day?

 

10. Would you love to find ways that you could implement every day to make you love yourself & be doing the things you love ? *

 

11. Which of the following would help the most? *

 

12. What made you choose the above answer? *

 

13. If you could make your own self help book or coaching what would you all like to have in it? *

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