Tell me more...

What do you do for work?

What are your work hours like?

Outside of your career, who/what else are you responsible for?

How do you sleep?

What forms of activity do you love to do?

How active are you?

Any injuries, old or new? Please provide as much detail as possible.

Do you currently meditate? If so, how often and how long for?

Do you currently practice yoga? If so, would you class yourself as a beginner, intermediate or advanced?

Are you intolerant to any foods, or do you feel like you react to any foods? Bloating/sluggishness etc.

Do you like to cook? What are your favourite foods?

What is your eating pattern like?

Please rate your energy levels in the morning, afternoon and evening based on a scale of 1-10. (1 - low, 10 - high)

Morning Energy

Afternoon Energy

Evening Energy

Do you suffer with stress or anxiety?

Yes

Sometimes

Please feel free to provide more information if you want to.

Finally, explain your perfect day to me!

Date

Initials

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