Welcome to Natural Living with Nina

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I'm stoked to see you here!

Please take 2 minutes to complete this form before we make time to chat.

This form will help both of us get a little clearer on your current concerns and desired goals.

Plus it will enable me to steer the conversation in a helpful direction so that you can get the maximum benefit of our time together.

Email *

Name and Surname

What would you like to discuss in your 1-on-1 chat with Nina? I would like to chat about how: *

To take better care of myself.

To loose weight

To eat healthier.

To get restful sleep.

To have more energy.

To have a deeper connection to food.

To understand my personal constitution better

To create a meditation practice

To take better care of my skin, my eyesight, and or my hearing.

To move my body with ease.

To be aligned with the daily rhythm.

To have more time.

To let go of outdated habits

Other:

Required

How are you currently feeling? *

I'm tired.

I'm overwhelmed.

I don't feed myself as well as I should.

I don't meditate enough, though I think I should.

I'm heavy.

I don't sleep well.

My day doesn't have rhythm.

My body doesn't move with ease.

I'm carrying extra padding that isn't necessary

Other:

Required

What is the main thing you are looking for help with? *

How did you hear about Natural Living with Nina? *

Facebook

Website

Instagram

Family &/ Friend (Word of Mouth)

Doctor/ Health Care professional

Other:

Required

Any additional information you would like to share?

Would you like access the the Pre-entry to Natural Living Course? This mini course will help you get clarity on your priorities and if you have the capacity to invest in your wellness with me. *

Yes

No, thanks

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