I am so glad you are here. 
Let's Awaken your 
wellness within

Please tell me a little more about yourself so I can
 prepare for our discovery call. 

 
👋 I'd love to tell you more about my proven method to help you restore your health! At Awakened Wellness, I specialize in offering personalized health solutions tailored to your unique needs. Whether you're facing chronic issues, looking to improve your overall well-being, or just need some expert guidance, I'm here to help.


Warm regards,
Nurse Tanya
I will be sending you an email & test message with the link to book your discovery call. 

If you have previously filled this form you may disregard the long form. 


Date of Birth, gender *
Do you feel stress is affecting your health?
On a scale of 0-10 how do you rate your overall health?
On a scale of 0-10 how do you rate your overall diet?
On a scale of 0-10 how do you rate your overall sleep?
On a scale of 0-10 how do you rate your overall stress level?
On a scale of 0-10 how do you rate your overall mood?
On a scale of 0-10 how do you rate your overall activity level?
On a scale of 0-10 how do you rate your overall cooachability?
On a scale of 0-10 how do you rate your overall commitment too take control of your health?
When did you feel your best? How long ago was that?
What are your currennt health issues? please be specific
How long has it been bothering you?
What have you tried that has not worked to improve this issue?
What medications/ supplements are you currently taking?
What is your #1 health goal over the next 30- 90 days? please be specific
Can you forsee any obstacles in the way of you meeting your goals?
What are 5 things you LOVE about your life?
Thank you so much for your time, 
I appreciate you. 

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