#1. What's the biggest challenge you're facing right now with your health?

#2. List 3 ways that it is impacting your life - think in terms of Career, Personal Development, and Relationships

#3. How much of a priority is this for you right now?

#4. What have you tried in the past to resolve this?

Select all that apply:

#5. What is your current diet

Select all that apply:

#6. How often do you feel like taking a nap after lunch

#7. How often do you wake up feeling full of energy

#8. How often do you cancel plans because you don't feel up to it

#9. How much water are you drinking each day

#10. If you were to change your diet, how supportive would the key people in your life be?