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Get-To-Know You Questions

I like to make the NeuroHP consultation as valuable as possible for you. Please answer the following questions prior to scheduling the consultation so that I can prepare and help you in the best possible way.

Click start to answer 7 questions.

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IMPORTANT TO KNOW

1. Please take your time to answer each question to your best ability. 

2. The system will not allow you to go back to the previous question.

3. This system requires an answer for each question. If you are not sure or don't have an answer, then please enter "not sure yet" or "N/A" in the box.

The information will not be shared. This in only for me to prepare for the zoom call on Monday so that I serve you the best I can. My goal is that everyone attending will get something out of the call.

 Thank you, Heike

Question 2 of 8

Your Full Name

Question 3 of 8

Please re-enter your valid email address.

We apologize for the inconvenience but our system requires this step. Thank you.

Question 4 of 8

What are the top three goals you are focusing on right now?

Question 5 of 8

 What areas in your life need the most attention right now? (Health, Work, Family/Relationships, etc.)

Question 6 of 8

What main challenges or obstacles are you currently facing? Please be as detailed as possible.

Question 7 of 8

What makes you genuinely happy? 
(This could be moments, situations, relationships, etc.)

Question 8 of 8

In the next 12 months, what major change would you like to accomplish?

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