Please take the time to answer the questions below thoughtfully so I have the information needed to best serve you. These questions will support you in deeply looking at your diet and lifestyle and they will also help me get to know you better.

Allow yourself the benefit of some uninterrupted, quiet and relaxed time to complete this assessment form. Be as open and honest as you can. Be assured that one of the primary principles of our coaching relationship is confidentiality. I agree to hold the information you disclose on this worksheet, or in any other coaching session, as private and sacred.

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