Q1: How would you describe your daily food choices? *

Mostly fast food, sugary snacks, or processed meals

Mix of healthy meals and occasional indulgences

Mostly clean, plant-based or whole food meals

Q2: How often do you feel tired, foggy, or low on energy? *

Almost all the time

A few days a week

Rarely – I feel energized most days

Q3: How much movement or exercise do you get weekly? *

Very little or none

Some light movement like walking or yoga

Regular sweat-inducing activity 3+ times a week

Q4: How would you describe your mindset most of the time? *

Overwhelmed, negative, or stressed

Trying to stay balanced but often distracted

Calm, focused, and intentional with my thoughts

Q5: How hydrated are you daily? *

I barely drink water

I drink some water but not consistently

I drink plenty of water and stay hydrated

Q6: If your body was a power plant, how much energy are you running on right now? *

Low – I feel drained, sluggish, or heavy

Medium – I’m functioning, but not optimal

High – I feel strong, charged, and in flow

First Name

Email *

Phone *

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