What is your main health goal?
Better sleep
Reduced stress
Enhanced focus
Increased energy
How often do you exercise?
Daily
Weekly
Monthly
Rarely
What dietary preference do you follow?
Vegan
Vegetarian
Keto
None
What is your preferred wellness method?
Yoga
Meditation
Nutrition
Fitness
How do you track your health progress?
Apps
Journals
Notebooks
Don’t track
What is your preferred consultation type?
In-person
Online
Group session
Self-guided
All set, how can we reach you?
Name
Email
Phone
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