Wellness Quiz

Your PERSONALIZED Wellness Quiz

Create PERSONALIZED wellness steps, based on what YOUR BODY NEEDS! Excited to help ~ Much Love, Grace
What areas of your health or life are you currently struggling with? (check all that apply)*

Weight loss/GLP-1Gain WeightParasite CleanseHeavy Metal CleanseProtein IntakeHealthy HabitsIntermittent fastingSleepFatigueLow energyImmune systemGut Issues/HealthStressAnxietyBrain fog / HeadachesJoint painInflammationInjury Healing/RecoveryHormone ImbalanceMenopausePerioMenopausePMSPregnancy / BreastfeedingSkin Issues (Face)Dry Skin (Face)Acne (Face)Skin Issues (Body)Acne (Body)Oily Scalp DAILYItchy ScalpUnexplainable Hair Loss
What area/s of your health or life are you MOST interested in improving? (check all that apply)*

Weight loss/GLP-1Gain WeightParasite CleanseHeavy Metal CleanseProtein IntakeHealthy HabitsIntermittent fastingSleepFatigueLow energyImmune systemGut Issues/HealthStressAnxietyBrain fog / HeadachesJoint painInflammationInjury Healing/RecoveryHormone ImbalanceMenopausePerioMenopausePMSPregnancy / BreastfeedingSkin Issues (Face)Dry Skin (Face)Acne (Face)Skin Issues (Body)Acne (Body)Oily Scalp DAILYItchy ScalpUnexplainable Hair Loss
Any other concerns not listed? If so, please share?
If you could fix/heal ONE goal, What would it be?*
What are you currently taking from brands for nutrition?*
What is something that holds you back from achieving your goal?*
If I could help you achieve your goal, what would be the MOST helpful for you? (Check all that apply)*

Cheat SheetsStep by Step guides1-1 Coaching"You & a Friend or Two" CoachingRecipesDay/Food TimelinesInclude/Eliminate SheetsPersonal ChecklistsApp Tracker
Instagram profile (let’s connect!)
Facebook profile
Text Phone Number*
We will ONLY send you information you requested - no spam here! 😃
Email
Would you like to be added to a mailing list?
How can I support you ? (Check all that apply)*

I’d love recommendations based on my answersI want to create simple, sustainable healthy habitsI want cheat sheets based on my answersI want coaching based on my answersPlease invite me to your FREE Healthy Living community
What other areas of your life do you want to improve? (Check all that apply)*

Overall WellnessMore Community/FriendshipsExtra Income/Financial StabilityI Would LOVE to Travel!Mindset/Mental healthPersonal Growth and Goal Setting
What time zone are you in?*
What time of the day in the next couple of days works best for a follow-up chat.*

Between 9am to noon.Between noon and 5pmBetween 5pm to 9pm
"I have friends I think would benefit from this survey too - here's their names or numbers, I am sending this link to them too!" (Forward to them and when they fill it out, I have a gift for you too!)
Who can we thank for referring you to this survey? (friend, Facebook group, social media, host)*
What else should I know about you? *
Name*

First NameLast Name
Here to help you, however I am able - Thank you for trusting me, this really is my passion, as I have lived EVERY STAGE of the journey, MYSELF!
Much Love ~ Grace
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Your PERSONALIZED Wellness Quiz