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Coaching and Healing Session Available
Please fill out the intake below!

A Measure of My Well Being Questionnaire
First and Last Name:
Email address:
MENTAL BODY
I'm clear and focused with positive thoughts about my life.

1 - not met at all

2 - being met very little

3 - ok

4 - being met well

5 - being met very well

EMOTIONAL BODY
I manage my emotions in a healthy way and feel safe and secure in my life.

1 - not met at all

2 - being met very little

3 - ok

4 - being met well

5 - being met very well

PHYSICAL BODY
I wake up with abundant energy and am well and strong.

1 - not met at all

2 - being met very little

3 - ok

4 - being met well

5 - being met very well

SPIRITUAL BODY
I am connected to the Spirit of ALL things in gratitude and give back in service.

1 - not met at all

2 - being met very little

3 - ok

4 - being met well

5 - being met very well

PROSPERITY AND ABUNDANCE FLOW
I am an open channel for abundance to flow freely to and through me.

1 - not met at all

2 - being met very little

3 - ok

4 - being met well

5 - being met very well

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