Health Visions, Objectives, and Commitments
In order for me to help you achieve your goals, it's important to know more about your health, visions, objectives and commitments.
It also helps you clearly articulate your personal vision, objectives and commitments regarding the health of your body, mind and spirit.
Please fill out this form before we move forward along the body-mind-spirit evolutionary path.
All information will be kept confidential.
I look forward to connecting with you!
Founder, Soul Guru Fitness + Wellness
What are your main health challenges and concerns regarding body, mind and spirit? In other words, what feels out of balance in your life right now? This could be physical, mental, energetic or otherwise.
Check All That Apply
I sleep poorly
I have a hard time falling asleep
I have a hard time waking up
I struggle with insomnia
I eat poorly
I feel dehydrated
I struggle with constipation
I struggle with gas/bloating
I struggle with diarrhea
I feel low on energy regularly
I feel anxious regularly
I feel lethargic or depressed regularly
I feel angry regularly
I struggle with negative self talk
I struggle with consistency and commitment
Please list any serious illnesses/hospitalisations/physical injuries as well as food allergies/digestive problems or any chronic health issues.
What is your vision/goal/desire regarding the health of your body?
What is your vision/goal/desire regarding the health of your mind or emotions?
What is your vision/goal/desire regarding the health of your spirit or intuition?
Based on your vision, tell me three specific objectives you have in working together.
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If you'd like to have a conversation about developing a healthy lifestyle strategy and further integrating fitness and wellness into your life, fill in below:
-Ideal time and date for phone conversation
-Ideal time, date, and place to meet for in person conversation
I'll do my best to respond ASAP. Thank you!
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