Initial Assessment Questions
1. What are your top 3 priorities you want to make to improve your health in 2023?
2. Why is it important for you to make these changes?
3. What has kept you from reaching your goals in the past?
4. How willing are you to change behavior in your life on a scale of 1~10?
5. How will your life be better by overcoming your obstacles and reaching your goals?
**the more specific your answers the better
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
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