M-Health Diagnostic — August Special Intake
The first step is taken.
Thank you for choosing to show up. Everything you share here stays completely confidential — this is simply how we get clear on where you're starting from, so we can make the most of our free session together.
7 modules · ~3 minutes
Be honest, not impressive
Module 01 — Current State
On a scale of 1–100, how stuck or overwhelmed do you feel right now?
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Module 02 — Where It Shows Up
Which of these feels closest to what's weighing on you?
{"type":"checkbox","name":"__generic","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Anxiety/Depression\nEmotional Control\nCareer & Business\nRelationship\nSelf-Esteem\nConfidence\nSleep Patterns\nChronic Pain"}
Module 03 — The One Issue
If we could resolve just ONE issue together in this session, what would it be?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Be as clear as you can be."}
Module 04 — Pressure Test / The Real Block
What's the biggest fear or belief that's kept this issue in place?
This one matters more than it seems.
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Really Think About It."}
Module 05 — Pattern Check
What have you already tried to fix this, and how did it go?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"List everything."}
Module 06 — Pressure Test / Honest Commitment
On a scale of 1–100, how committed are you to solving this right now?
{"type":"radio","name":"__generic","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please choose one of the above options.","options":"100 — ready right now\n75 — very motivated\n50 — interested, still deciding\n25 — just curious for now"}
Module 07 — Vision / What Changes
Close your eyes for a second and imagine this issue is completely gone. What would that actually feel like — in your body, your mind, your day-to-day? What would you be doing differently that you're not doing now?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Just Let Imagination Run Wild."}
Final Step
Naming what's really going on, out loud, is where every real shift begins. We'll personally review your answers and be in touch shortly to confirm your free session.
I'M READY FOR MY FREE SESSION
