Let’s work together I’d love to get to know you! What gender are you? Male Female Non-binary/other What lifestage are you in? 20 - 30 30 - 40 40 - 50 50 - 70 70 + What are your primary health & wellness goals? check all that apply Weight management Stress reduction Improved fitness Better sleep Increased energy levels Mental & Emotional well-being Longevity Peri-Menopause/Menopause How often do you currently engage in self-care activities to support your well-being? (e.g., exercise, meditation, healthy eating, therapy, massage etc) Rarely or never Occasionally 1-2 times per week 3-4 times per week 5 or more times per week Where do you typically seek information or resources related to wellness? Instagram Facebook Linked In Tik Tok Wellness websites or blogs Health and wellness magazines Books or e-books Wellness apps Wellness events or workshops How much are you willing to invest in your wellness each month? Less than $50 $50-$100 $100-$200 $200-$300 $300 or more What services are you interested in? Check all that apply meditation coaching wellness coaching yoga sessions videos What would you like help with? Is their anything else? i.e. my email is xxxxxxxx@gmail.com; please contact me Thank you!
