Your Personalized Path to Releasing Your Infinite Relic

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Here is a fun quiz that will help us formulate a custom path for you to your healthy lifestyle goals. Let's begin.
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Do you have a healthy lifestyle goal that you are trying to achieve? Please describe.

Which best describes you best the majority of the time?

I Travel in a pack

I'm the life of the party

Lone Ranger

Nomad

Introvert

Clear selection

Choose 1

High Heels

Bare Foot

Sneakers

Clear selection

Which best describes your inner monologue?

I know what I want, I know why I want it & I"m going to get it.

I know what I want, I know why I want it, but I'm not sure how to to get it.

I don't know what I want, at least I can't articulate it, but I can feel it.

Clear selection

I'm a

Hometown Girl

World Explorer

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My idea of a perfect evening...

Movie Night in my Jammies

Dinner & a show

I'll meet you at the club

Art Class with the girls

Clear selection

Yum Yum...Choose one.

Farmers Market

Grocery Store

Take Out

Dine Out

Clear selection

Change Changer or Same Samer?

Change excites me.

Change scares me, but I'm willing to.

Change isn't for me.

Clear selection

Rock Your Soul with...

Pink, Madonna, Katy Perry & Cher

Janis Joplin, Ani DiFranco, Fiona Apple & Adele

Carrie Underwood, Shania Twain, Kelly Clarkson & Lauren Daigle

Aretha Franklin, Alicia Keys, Lauren Hill & Diana Ross

Clear selection

Which describes your nutritional efforts

Serial Dieter

It's a lifestyle, but needs some fine tuning

I've tried every fad and supplement there is

I eat whatever I feel like

If it's healthy and works I need it!!!

Clear selection

Which can't you live without?

Ice Cream

Potato Chips

Smoothies and shakes

Dark Chocolate

Milk Chocolate & Oreos

Clear selection

Choose 1

Slow your roll....Give me a minute.

Cold Turkey

Lay it on me

Clear selection

I like to keep it interesting, sometimes I don't have time to plan my workout.

I'm not really sure what I do when I get to the gym, so I putz around not really seeing the results I want

I rock it in the gym, you should see me.

I've never worked out before.

Clear selection

What is the driving reason to achieve your personal wellness goal?

What would your ideal life look like if you could design it?

On a scale of 1-10 how committed are you to achieving your goals?

Clear selection

Add anything else you would like to share regarding your ideal healthy lifestyle.

What is your name and best form of contact?

Would you like to be added to an email list for updates and special offers? You will hear from me less than you'd like, but more than you are now.

Yes

Clear selection

Thanks for taking the time to fill out this fun survery. Together we will personalize a next step that sets you up for success. Let's Chat to set up a fun call to go over your personal results. thewellthylife@gmail.com | www.christinedesouza.com

I'm curious about my results

I'm curious about my results and how I can get to my goals

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Submit

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