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* 1. How old are you?

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* 2. Where do you live?

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* 3. How did you originally get to hear about / know Janey?

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* 4. Have you done any of Janey’s programs before?

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* 5. What is the biggest life issue / struggle that you face at the moment?

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* 6. What are the other life issues / struggles that you face at the moment?

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* 7. If Janey could wave a magic wand and provide the solutions you think you need, what would they be?

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* 8. On a scale of 1 to 10 how happy would you say you were? (1 least 10 most).  Please write what you think you would need to change AND/OR what you need from someone like me in the comments box if you wanted to improve this score?

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* 9. On a scale of 1 to 10 how stressed are you? (1 least 10 most) Please write what you think you would need to change AND/OR what you need from someone like me in the comments box if you wanted to lower this score?

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* 10. On a scale of 1 to 10 how much do you compare yourself to others? (1 least 10 most) Please give some examples of how you compare yourself and how this affects your mood and life

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* 11. On a scale of 1 to 10 how healthy (thinking food / fitness / mindset) are you? (1 least 10 most) Please write what you think you would need to change AND/OR what help you'd need from someone like me if you wanted to improve this score?

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* 12. On a scale of 1 to 10 how content are you in your life? (1 least 10 most) Please write what you would need to do or change AND/OR help you'd need from someone like me if you wanted to improve this score in comments box?

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* 13. On a scale of 1 to 10 how confident are you about yourself? (1 least 10 most) Please write how your life would change for the better if you were to improve this score and what help you might need to make this happen in the comments box?

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* 14. How strong/powerful/unhelpful is your negative voice / inner dialogue? In the comments box please write how this holds you back in your life and if you can share the kinds of things it says to you?

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* 15. If you have children, how many do you have and how old are they?

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* 16. If I were to create an online program or programs to help and support you with your current life challenges and issues, what would your program content wish list be?

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* 17. How long would you want this program to be?

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* 18. How would this content ideally be delivered?

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* 19. For any tailor made part of the program how would you prefer this to be done?

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* 20. I currently use closed Facebook groups to provide add on material and interaction with my clients. Do you like using Facebook group for this?

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* 21. If there is anything else you’d like to say about what you need and the ways I could support you, please write down here

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* 22. If you’d like a personal response to this survey then please wite your name and email address below. Please note I am GDPR compliant and you won’t be added to my mailing list unless you opt in to it :-)

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