Harvesting Healthy Habits Inquiry Form
Congrats on taking the 1st step towards crushing your habits. I am honored to help you achieve them. Therefore, please go into as much detail as possible on the answers below. The more specific, the better I can help you.
-Cayle Alldredge
What are the top 5-10 habits that you want to crush?
Chose 3-5 from that list.....
Why do you want to change these habits
Have you tried to change these habits before?
*
Your Answer
Yes
No
I Don't Know
No elements found. Consider changing the search query.
List is empty.
What is your biggest obstacle with creating new/different habits?
What would accomplishing these habits do for you emotionally? Maybe dig a few layers deep and think about it....
What is your energy level in a day on a scale of 1-10 (1 being low)
Do you feel like you get good sleep? (At least 7 hours a night)
Is having a support system to hold you accountable important to you?
Are you open to getting support in a small group setting? Or, do you prefer to work 1 on 1?
What other information would you like to share with me before we chat?
First Name
*
Last Name
*
Email
*
Thank you! I will look over these answers and get in touch with you via email or DM within 24 hours. So keep an eye out on a message from me!