How Have You Been Coping? Survey
Given all of the recent uncertainty and trauma, we wanted to check in and see how you're doing. We'd like to know how these tumultuous times have been affecting you and your wellbeing. What have you been struggling with physically, emotionally, and/or mentally?

Once we get a better idea of what you've been dealing with, we can create virtual programs to meet your needs going forward. Some services will be offered by Coach Colette, while others may involve referrals to our network of health and wellness practitioners.

THANK YOU for sharing your experience with us!
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Email *
First and Last Name *
Phone Number *
On a scale of 1-10, my sense of wellbeing in the past weeks/months has been: *
Feeling good, little to no stress
Not feeling good, high stress
What's been happening has affected my body as: (Select all that apply.) *
Required
What's been happening has affected my mood/feelings as: (Select all that apply.) *
Required
I believe I'd get the most healing or relief with virtual: (Select all that apply.) *
Required
I would be most interested in having a session: *
I'd like to get started with my healing: *
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