Your Free Transformation Session Questionnaire

Fill out the form below to get started!

Name

Age

Phone

Address

City

Province/State

Postal/Zip Code

Country

Best Day and Time to Reach You

1.) Describe your current challenges – physical, emotional, mental, spiritual, relationships, career, finances (please be as succinct as possible).

2.) How do you feel physically, mentally and emotionally when you wake up every morning? (On a scale 1-10, 10 being the worst)

3. How do you feel physically, mentally and emotionally when you start your work day? (On a scale 1-10, 10 being the worst)

4.) How do you feel physically, mentally and emotionally when you go to sleep every night? (On a scale 1-10, 10 being the worst)

5.) What keeps you awake at night, and how does it make you feel?

6.) On a scale of 1-10, with 10 being the highest, what is your pain level/challenge? Please explain this number.

7.) What do you really want?

8.) How would you feel if you were to improve your health, relationships, career, finances?

9.) Are you ready to stop the pain/struggle and overwhelm in your life?

10.) Are you willing to make the change to attain what you desire?

11.) Are you ready to give yourself permission to invest in You, in your life?

12.) How important is it to you to improve your health, be happy , and flourish in your relationships and finances? (on a scale of 1-10, 10 being the highest)

Women Be Empowered

In Your Health and Happiness

Your Free Transformation Session Questionnaire

We are helping women grow stronger, healthier, happier, and more successful every day