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What is your biggest health concern (or goal)? *
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3. What would mean to you to achieve your desired goal or to solve your problem? *
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4. If you could have anything from a health coach what would it be? *
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5. How would you most like to work with a health/wellness coach? *
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6. In what areas would you hope to benefit while working with a health/wellness coach?
(Choose AS MANY as you would like, or add one of your own!) *
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How much time would you be willing and able to put aside a week to achieve this goal? *
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7. Is there anything that would stop you or has stopped you seeking assistance from a health/wellness coach?
(Choose more than one if it applies to you, or add one of your own!) *
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8. What have been some of the obstacles to participating in a healthier lifestyle (check all that apply) *
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9. How much money would you be willing to invest in total to reach your Health and Body Goals? *
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10. What would be the best way to let you know about the new coaching program, if it is made available (check all that apply)? *
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11. What do you think would be the ideal number of sessions that you would like to speak with a health coach over a period of one-year?
(This is to give us a better understanding of your perspective). *