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Energy Audit

This Free Energy Consultation call will allow us the chance to discuss your current energy drains in more detail.

Complete the Energy Audit and in the call we will discuss where you're currently likely to be losing energy, and some quick ways to address this.

Once submitted you will be able to select an available time slot to suit you.

Click the button below to Start

Please complete ALL the questions

 

 

Start

Question 1 of 23

Tell us what prompted you to book this call today

Question 2 of 23

Briefly describe your current challenges

Question 3 of 23

What is the #1 outcome you are looking to achieve?

Question 4 of 23

Why is it important that you achieve this now?

Question 5 of 23

What will life be like if you don't do anything about it?

Question 6 of 23

What obstacles of challenges could get in the way of achieving your desired outcome?

Question 7 of 23

On a scale of 1-10 how important is it that you achieve this now?

Energy Drain Audit

This short questionnaire will help reveal the hidden drains on your energy, recovery, and vitality.

It takes less than 5 minutes, and we’ll review your results in your free consultation call.

Question 9 of 23

On a typical day, how often do you feel tense, rushed or under pressure?

A

Rarely

B

Sometimes

C

Often

D

Constantly

Question 10 of 23

How often do you consume alcohol?

A

Rarely or Never

B

1-2 days per week

C

3-4 days per week

D

5+ days per week

Question 11 of 23

How often do you consume sugary snacks or highly processed foods

A

Rarely or Never

B

1-2 days per week

C

3-4 days per week

D

5+ days per week

Question 12 of 23

How well do you unwind and 'switch off' in the evening?

A

Easily

B

Most of the time

C

Sometimes

D

Not at all

Question 13 of 23

How often do you experience brain fog, poor focus or mental fatigue during the day?

A

Rarely

B

Sometimes

C

Often

D

Daily

Question 14 of 23

How many hours of quality, uninterrupted sleep do you get most nights?

A

8+ hours

B

7-8 hours

C

6-7 hours

D

less than 6 hours

Question 15 of 23

How often do you wake up feeling genuinely rested and energised?

A

Always

B

Most days

C

Some days

D

Rarely

Question 16 of 23

How often do you eat meals that keep you energised for 3-4 hours without crashes?

A

Always

B

Often

C

Sometimes

D

Rarely

Question 17 of 23

How well hydrated do you feel throughout the day?

A

Excellent

B

Good

C

Fair

D

Poor

Question 18 of 23

How many days per week do you do physical activity that elevates your heart rate and challenges your fitness? 

 

A

5+ days

B

3-4 days

C

1-2 days

D

0 days

Question 19 of 23

How confident are you with your physical strength, balance and endurance?

A

Very confident

B

Confident

C

Slightly confident

D

Not at all confident

Question 20 of 23

How often do you take time for activities that boost mental sharpness and focus (e.g. learning, problem solving, puzzles, creative hobbies, languages)?

A

Daily

B

Often

C

Sometimes

D

Rarely

Question 21 of 23

How often do you take short breaks from your tasks during the day?

A

Regularly - at least every hour

B

Now and then - every 2-3 hours

C

Not much - 1-2 a day

D

Never - there's no time. I even have my lunch at my desk

Question 22 of 23

How often do you feel energised and strong enough to do all the physical and mental tasks you want to in the day

A

Always

B

Most days

C

Some days

D

Rarely

Consent to Consult

By submitting this assessment I understand, have read, and fully completed this questionnaire truthfully. I understand that this information will be used to determine if I am an appropriate candidate for coaching should I want to progress at any time after the Free Consultation.

The Free consultation conversation is for informational and educational purposes only and is not for the purposes to diagnose or treat any medical conditions.

By taking part in the free consultation, I understand this does not make me a client of your practice until such time that I sign up to a plan. 

I understand that if I withhold information or provide misinformation, then incomplete results or recommendations can occur from coaching received. I am aware that it is my responsibility to inform you of my current medical or health conditions and to update this history. The treatments I receive here are voluntary and I assume full responsibility thereof.

Confirm and Submit