What are YOU Struggling With?

I want to serve you better and in order to do that I need to know more about you. Please take a moment to answer this brief survey so that I can best tailor my offerings to meet your needs.

I look forward to your answers!

Sincerely,
Lisa Fox Bail
Health Appeal

What frustrates you the most about your health/life?

What are you trying to accomplish this year?

What do you think you'd need in order to significantly improve your health or happiness this year?

What strategies/programs have you tried in order to improve your health (or life) that worked and didn’t work?

What's one thing you would like to do differently right now?

Are you a busy professional woman in her late 20s or 30s with a young family (or are planning to start a family soon)?

Yes

No, I am not in that age range

No, I do not have a family

No, I am a stay at home mom

No, for another reason not mentioned above

How do you like to receive information?

If you were to attend an online webinar, what days and times are best for you?

OPTIONAL: Please consider providing your contact information. This information is for my purposes only and will not be sold or shared with anyone.

First Name :

Last Name :

Address 1 :

Address 2 :

City :

Province :

Postal Code :

Phone :

Email Address :