Your Fresh Start

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Your Fresh Start - Sleep

The quality and quantity of our sleep can have a big effect on many aspects of our lives, such as:
* Weight
* Mood
* Physical / exercise performance
* Concentration / willpower
* Food choices
* Immune system
But it doesn't need to be that way. If we can assess our current sleep patterns, we can work on ways to improve them. This can have a big impact on many other aspects of our lives.

Email *

Full Name *

Overall goal

Remind yourself what your long term, overall goal is, and why.

Have you changed weight recently?

Have you either gained or lost significant weight over the last 1-3 months?

How have you changed weight recently?

If you have gained/lost weight over the last 1-3 months, please describe the circumstances behind it.

Medical conditions

Please list any medical conditions you currently have.

Medication

Please list any medication you currently take or have taken in the last 1-3 months.

What help have you had for your sleep?

Please describe any help / advice you have previously had for your sleep and what effect it had for you.

What would you like to improve about your sleep?

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