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Basic Information
Goals
What are your top 2–3 goals? (3 max)
On a scale of 1–10, how ready are you to incorporate changes into your daily routine?
Lifestyle (L)
Sleep (hours/night)
How would you rate your stress level? (select one)
Movement (check all that apply)
Appearance (A)
Your main skin concerns (check all that apply)
Balanced Diet (B)
How would you describe your diet?
Do you experience energy crashes or cravings for sugar?
Do you currently take supplements?
Context & Expectations
Have you been told you have hormone, thyroid, or blood sugar issues?
What has been your biggest challenge in improving your health or appearance?
What would success look like for you in the next 3–6 months?