Name(required) Email(required) Please answer the following questions by indicating your willingness on a scale of 5 (very willing) to 1 (not willing) and include any comments you feel you would like to. In order to improve your life, how willing are you to: 1) Significantly modify your diet(required) Please answer the following questions by indicating your willingness on a scale of 5 (very willing) to 1 (not willing) and include any comments you feel you would like to. In order to improve your life, how willing are you to: 2) Take several nutritional supplements each day(required) Please answer the following questions by indicating your willingness on a scale of 5 (very willing) to 1 (not willing) and include any comments you feel you would like to. In order to improve your life, how willing are you to: 3) Modify your lifestyle (e.g., work demands, sleep habits)(required) Please answer the following questions by indicating your willingness on a scale of 5 (very willing) to 1 (not willing) and include any comments you feel you would like to. In order to improve your life, how willing are you to: 4) Practice a relaxation technique(required) Please answer the following questions by indicating your willingness on a scale of 5 (very willing) to 1 (not willing) and include any comments you feel you would like to. In order to improve your life, how willing are you to: 5) Engage in regular exercise(required) Please answer the following questions by indicating your willingness on a scale of 5 (very willing) to 1 (not willing) and include any comments you feel you would like to. In order to improve your life, how willing are you to: 6) Wake up early daily (eg 5 or 6 am)(required) Please answer the following questions by indicating your willingness on a scale of 5 (very willing) to 1 (not willing) and include any comments you feel you would like to. In order to improve your life, how willing are you to: 7) Let go of your excuses and limiting beliefs (WARNING this is hard and scary AF)(required) 8) List your most treasured values(required) 9) Do you already have specific goals or visions for the next 1-3 years? If yes can you share? If no, is this something you struggle with or want to have? What do you feel is preventing you from setting future goals or visions.(required) 10) What is your perfect day?(required) 11) What do you want to be known for?(required) Submit Schedule your 30 minute Interview with Dr. Tracy-Lynn
