Please fill this form out before your private session Name First Last Email* Please tell me specifically what is going on with your body, mind or emotions.How do you WANT to feel? What would you like to shift in your body, your mental or emotional patterns, or your spiritual growth?What are your BIGGEST CHALLENGES with your wellness goals right now?Rate your typical energy level on a scale from 1-100. 100 is freaking amazing. Less than 70 is hard to get through the day without caffeine or sugar. 90-100 80-90 70-80 Less than 70Rate the quality of your sleep on a scale of 1-3. One is horrible. 2 is so-so. 3 is deeply restful. 1 2 3Rate your current diet I only eat foods that are good for my body, at a time when my body can digest. I need to improve my diet or eating habits.What is your single biggest health goal right now?Δ
