The purpose of this questionnaire is to obtain a snapshot of your life. By completing these questions as fully and accurately as you can, you will facilitate your Wholenesss Approach.
The information you supply is kept strictly confidential and is only available to our Personal Coaches without your written permission.
IMPORTANT: If you do not wish to answer any question, write, “Do not care to answer”. Also, if a question does not apply to you, simply write “NA” in the space provided. An asterick indicates required information.
Integrity is telling yourself the truth. Honesty is telling others the truth.
