Health Goals Survey
THIS IS 100% CONFIDENTIAL.  Your privacy is very important to me!

Please take two minutes to complete this survey by Sept 15, 2022 and be entered to win TWO FREE HEALTH COACHING SESSIONS with ME ($275 value)

I want to know how I can support you more so you can have a deeper understanding of what's going on with your health to really fix the issues once and for all, and back to feeling like yourself again!

Your Partner in Health
Christene Kamberis
Intentional Synergy
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What health challenges keep you from achieving your ideal health and weight? (select all that apply) *
Required
What is your number one biggest struggle when it comes to your health and feeling your best? *
What has been the most frustrating part of your health journey? *
What things or programs have you tried to improve your health and get back to feeling like yourself again?  Did it work for you?  Please share your experience here. *
What are you just DYING to learn or know more about in order to create a lifestyle that supports your ideal health and weight?  If someone could wave a wand and help, what would you want answers to?  (Select all that apply.) *
Required
Which types of events, offerings, and programs pique your interest?  (Select all that apply.) *
Required
What social media outlets do you use to find health information and/or to get accountability and support from? *
Required
Who else do you look up to or follow for health information, insights and inspiration? *
Are you male or female? *
What is your age? *
Feel free to leave any other suggestions or comments.  All feedback is appreciated!
Enter your full name, email and phone number to be entered to win 2 FREE COACHING SESSIONS WITH ME! ($275 value)
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