Amanda Johnston

Amanda Johnston

Metaphysical Health & Life Coach

60 Minutes
Personal Information
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Additional Information

What is your main health concern that you want to focus on?

Please provide your coach with your primary health concern or top two goals.

What is your top health concern?
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Is this a health concern you want to work on or feel like you have to?
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On a scale of 1 to 5 (1 is lowest to 5 as the highest), how would you rate your readiness for changes?
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If you could accomplish anything, what would it be and what is your vision for yourself?
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Challenges

This section will focus on the challenges that I can help you overcome.

What is your top blocker or challenge to your main health goal?
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Is there a second challenge that you feel you need help with?
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How long have you been wanting to overcome these obstacles or challenges?
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What resources do you know of that are available to you?
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Motivations

This section describes your initial motivation for changing your habits to accomplish your health goal(s).

What is your inspiration for change?
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Do you believe that with the right support you can succeed?
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Have you had success in the past accomplishing any health goals? Even if it was a long time ago and maybe didn't "stick".
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If yes, please briefly share what worked and if no, let me know what or why you think it didn't work?
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Thank you

Your time completing this form is very helpful as we prepare to work together on your health goal(s). Thank you and I look forward to supporting you in your journey!