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Get Motivated With Teri-
Your New Positive BFF
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Assessment quiz
First name
Last name
Email
Phone
Check all that apply.
I have neglected my health.
I need to eat healthier.
I am under weight.
I am over weight.
I have health issues due to my weight.
I am a positive person.
My mind tends to lean more to the negative.
I have no will power.
I do not have mental support.
I want to be happy.
I am dealing with loss.
I am dealing with an issue that I can't tell anyone.
Someone in my immediate family is facing a horrible medical issue.
If needed, use this box to explain anything you checked above.
What do you expect to gain from your sessions?
So far in your life, what do you feel are your biggest accomplishments to date?
Please tell us about the hardest thing you've had to overcome in your life and how you overcame it.
Which things stress you out the most?
Please describe your current self using 5 different adjectives?
What are the three biggest changes you'd like to make in your life within the near future?
Please share anything else that you think might help the coaching process.
On a scale of 1 to 10, how motivated are you to successfully make those changes?
Please provide a rough date at which you'd like your sessions to begin
I want to subscribe to the newsletter.
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Please allow 24 hours for response
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