Warrior Reset - The Over 40s Comeback Plan Questionnaire

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
4
Gender* This field is required.
Male
Female
Non-binary
5
What do you do for a living?* This field is required.So I can get to know about your daily stresses etc.
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6
What are your top 3 goals you are striving to achieve right now?* This field is required.
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What major stresses or challenges are you struggling with right now?* This field is required.
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What 3 big changes would you like to make in your life in the next 12-months?* This field is required.
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What eating, exercising or general health habits would you like to begin or break in order to feel stronger and more healthy?* This field is required.
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What have you done so far, and why do you think it hasn't worked to the level you want it to?* This field is required.
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Can you briefly describe your typical week of activity?* This field is required.
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Can you briefly describe your typical eating habits?* This field is required.An example day.
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Do you consume alcohol? If yes, how much?* This field is required.
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Can you briefly describe your sleeping habits?* This field is required.How many hours? Do you struggle to sleep? What time do you wake up and go to sleep?
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Do you commit to showing up on time to your call?* This field is required.
YESNO
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Is there anything else you want me to know before our call?* This field is required.
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Do you commit to being open and honest?* This field is required.
YESNO
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Why do you feel you could be a great student or coaching client if we worked together?* This field is required.
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