Name
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First Name
Last Name
Email
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Phone
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Date
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How would you rate your current physical health?
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How satisfied are you with your current level of physical activity or fitness?
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How would you rate your sleep quality and overall energy levels?
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How would you rate your nutrition?
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How would you rate your current mental and emotional well-being?
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How well do you feel you manage stress and cope with challenges in your life?
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How satisfied are you with your current work-life balance?
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How would you rate your connection to your spiritual practices or beliefs?
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How often do you engage in activities that nurture your spirit (e.g. meditation, prayer, reflection)?
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How aligned do you feel with your higher purpose or sense of meaning in life?
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How would you rate your current financial stability or security?
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How satisfied are you with your ability to manage your personal finances (budgeting, saving, investing)?
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How would you rate your financial goals and the progress you've made towards achieving them?
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How effectively do you feel you lead your team (if applicable)?
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How well do you think your team members collaborate and communicate with one another?
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How well do you feel you provide direction, motivation, accountability, and support for your team?
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How would you rate the overall systems of your business (systems, processes, workflows)?
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How effective do you feel you are at managing your time and priorities as a business owner?
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How satisfied are you with the current level of growth and progress your business is experiencing?
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How confident are you in your marketing strategies and campaigns?
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How well do you feel your business is represented online and through digital marketing?
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How well do you feel you are attracting your ideal patients?
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