The Whole Body Upgrade Course
I'm so excited for you to begin this course! I'd love to hear what your challenges are currently facing, what you've tried, and how you feel. This is a way to see where you currently on and reflect on what has or has not worked for you in the past. If you have any questions, feel free to email me at Rebecca@CenteredYou.com.

Peace and wellness,
 Rebecca
Name *
What is your intention for the course? *
Where do you hope to be at the end of the course? *
If you are having health issues, please describe. *
How long has this health issue been a concern? And what is its frequency? *
What is your emotional state around this health issue? (frustrated, relaxed, angry, happy, stressed, etc.) *
What have you tried that has worked? *
What have you tried that has *not* worked? *
What is your current stress level? *
Not Stressed
Very Stressed
How would you rate your performance of Physical Wisdom Body (this includes what you eat, how you sleep, if you move your body)? *
Poor
Wonderful
How would you rate your performance of Emotional Wisdom Body (this includes your emotions, resilience, stress, etc)? *
Poor
Wonderful
How would you rate your performance of Mental Wisdom Body (this includes the thoughts that you have, the stories that occur in your mind, etc)? *
Poor
Wonderful
How would you rate your performance of Energetic Wisdom Body (this includes your energy- not how much energy your have, but how you manage your energy body)? *
Poor
Wonderful
How would you rate your performance of Spiritual Wisdom Body (this refers to connection with guides and past traumatic experiences)? *
Poor
Wonderful
Thank you! Please use this space to add anything else you would like to share.
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