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GETTING STARTED - SELF ASSESSMENT

Take this quick assessment so I can better understand your current goals & challenges. I will contact you after it is completed to schedule your 1-on-1 consultation. “In order to know where you’re going and how to get there, you must first understand where you are.”

Questions marked * are required.
Questions
1. First & Last Name *0 / 1,000 characters
2. What are your top priorities for health or wellness right now? (select all that apply) *

Select all that apply

3. Have you set any specific health or fitness goals for the next 90 days? *0 / 1,000 characters
4. Do You Currently Take Any Supplements? *

Select all that apply

5. How strong of a priority is making lasting changes in your health and wellness? *
Not A Priority At AllAbsolutely Essential
6. How important is being part of a community of people with similar goals to you? *
One Man ArmyI’m A Team Player
7. Currently, what’s the biggest challenge you face holding you back from your health goals? *0 / 1,000 characters
8. Would you like to explore a baseline blood panel? *

Learn what your body needs and use the Valdura app to help understand your results. This is a separate purchase of $229 (or $154 with membership).

9. Email *0 / 1,000 characters
10. Phone Number *0 / 1,000 characters

Your response will be shared with Fuel Your Ambitions.