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Wellness Survey
How satisfied are you with your current Health & Wellness?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
How satisfied are you with your current job/career?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
How would you describe your stress levels in relation to your job on a scale of 1 to 5 (1-low; 5 high)?
1
2
3
4
5
Scale
1
2
3
4
5
Do you frequently think about changing career and if so what other career options you would you consider?
Please describe how you feel after eating (e.g., good, energised, tired, low energy, bloating, gas, uncomfortable feeling, abdominal pain, etc.)
Have you ever considered what your purpose in life might be and if so please describe?
If you suffer from any chronic condition(s) what impact has this on your life?
Do you experience anxiety in professional, social, or other environments and if so, how does this affect your life?
What issues would you consider going to a Holistic Wellness coach for?
Have you experienced (or noticed in others) any positive (or negative) outcomes from therapy, coaching or otherwise that intrigued you? Describe briefly.
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