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Question 1 of 47
Email
Question 2 of 47
Full Name
Question 3 of 47
Today's date
Question 4 of 47
Email address
Question 5 of 47
Phone number
Question 6 of 47
Your time zone
Question 7 of 47
Address
Question 8 of 47
City
Question 9 of 47
Country
Question 10 of 47
Zip/Postal Code
Question 11 of 47
What is your age?
Question 12 of 47
What is your current weight?
Question 13 of 47
What is your desired weight?
Question 14 of 47
What is your height?
Question 15 of 47
At what age would you say you were the healthiest and felt the best?
Question 16 of 47
What is the main challenge you face when it comes to achieving and sustaining a healthy weight?
Question 17 of 47
Do you believe that you can reach your health and weight-release goals?
Question 18 of 47
How much time are you willing to devote to exercise? Indicate the number of days per week and the amount of time per day:
Question 19 of 47
What is your current exercise routine?
Question 20 of 47
Are you prepared to give up or cut down on certain types of foods?
Yes
No
Maybe
Question 21 of 47
Has God been part of your health and weight releasing journey in the past?
Question 22 of 47
On a scale of 1-10, with 1 being not important and 10 being extremely important, how important is it to get this solved - and why?
Question 23 of 47
What is the #1 obstacle keeping you from solving this challenge?
Question 24 of 47
Is there anyone who is supportive of your goals?
Question 25 of 47
What would you like to weigh in six months?
Question 26 of 47
What behaviors, beliefs, or challenges do you have that could stand in the way of your achieving health goals?
Question 27 of 47
What other weight loss programs have you tried in the past?
Question 28 of 47
What should I know about you? In other words, how do you think? How do you reach decisions? What motivates you?
Question 29 of 47
What's missing in your life, the presence of which, would have your life become more fulfilling?
Question 30 of 47
If time and resources were not a concern, describe some things you would be doing?
Question 31 of 47
What do you contribute to the world that is unique? What special gift has God given you?
Question 32 of 47
Do you pray consistently?
Question 33 of 47
Rate your faith (1 is low, 5 is high)
1
2
3
4
5
Question 34 of 47
Rate your satisfaction with your work/life balance (1 is low, 5 is high)
Question 35 of 47
Rate your satisfaction with your family life (1 is low, 5 is high)
Question 36 of 47
Rate your satisfaction with your finances (1 is low, 5 is high)
Question 38 of 47
CLARITY - On a scale of 1-10 with 10 being Very Clear - How you clear are you on the steps it takes to achieve your goals?
6
7
8
9
10
Question 39 of 47
On a scale of 1-10 with 10 being Very ClearAre you clear about the impact that your current state of health is having on your life?
Question 40 of 47
On a scale of 1-10 with 10 being Very Clear
You know how to surrender your health journey to God.
Question 41 of 47
COMMITMENT - On a scale of 1-10 with 10 being Very Clear
How committed are you to achieving your goal?
Question 42 of 47
CONFIDENCE - On a scale of 1-10 with 10 being Very Clear
How confident are you that you can reach your goals?
Question 43 of 47
COMPETING INTERESTS - On a scale of 1-10 with 10 being Very Clear
How willing are you to prioritize your health above everything else?
Question 44 of 47
Are you willing to invest in yourself financially?
Question 45 of 47
Are you ready to let go of limiting beliefs that have been holding you back?
Question 46 of 47
COMMUNITY- On a scale of 1-10 with 10 being Very Clear
Are you part of a supportive community that motivates you to achieve your goals?
Question 47 of 47
Why would you like to work with a WLGW Coach?