What motivated you to consider this program, and what health and relationship improvements are you seeking?

What medical conditions do you currently have?

What past medical conditions or surgery have you had in the past?

What medications are you currently on?

What diseases run in your family?
(eg. hypertension, diabetes, heart attack, stroke, depression, anxiety, dementia, cancer, kidney disease etc)

How much stress are you currently under at work and at home?

Have you tried other methods or solutions to improve your health and relationships in the past? If so, please describe your experiences and results.

On a scale of 1 to 10, how committed are you to making significant changes to achieve your desired results?
(1 being not committed, 10 being highly committed)

Are you open to learning and implementing new strategies for your health and relationships, even if they differ from conventional approaches?

Do you have any specific goals or expectations for your physical fitness, emotional well-being, or relationships that you'd like to achieve through this program?

What is the biggest obstacle or challenge that might hinder your journey to achieving your desired results, and how do you plan to overcome them?

What would your ideal experience of your older age look like?
(Eg. 70’s, 80’s and beyond.)