Are you satisfied with your current state of health? YES NO SOMEWHAT
If not, what would you like to change? WEIGHT SLEEP SYMPTOMS MOOD
Which of these have you tried in the past? DIET GYM SUPPLEMENTS MEDICATION THERAPY
Have you ever worked with a health coach or therapist? YES NO
How satisfied were you with the results? VERY SOMEWHAT NOT SO MUCH
Do you prefer to work on your health goals independently or as part of a group? ALONE GROUP BOTH NOT SURE
What would appeal most to you about working with a health coach? COMPASSION ACCOUNTABILITY INFORMATION OTHER
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