5 month LifeStyle Alignment Program Review

Your First Name *

Your Last Name *

Your Email *

Which overall positive changes in your health and well-being have you noticed since starting your LifeStyle Alignment Program? (please specify the improvements you’ve experienced /10 where ever possible) *

Which goals have been met? *

Are there areas you’d like to focus on, shift, or approach differently to meet your goals in the next 5-6 motnhs? *

Which specific recommendations have you found helpful and which do you continue to use? *

Please list any people in your life you think could also benefit from work like this (including improving their general health, energy, lifestyle quality, resilience, focus) *

What is your main concern at this time? *

Any other thoughts/ comments?

Food information

What’s your food intake like currently? Please share the food and drink you consumed yesterday as a current example.

Breakfast: *

Lunch: *

Dinner: *

Snacks: *

Liquids: *

Any other thoughts/ comments?

Any questions about concepts or recommendations introduced so far?

Are you comfortable for your comments to be used to help those who are considering taking their next steps with their health goals? Y/N *

Thank you for completing your Review – it helps me to help you.

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