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The Body Well Made Method
In Practice
Contact
First name
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Last name
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Email
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Phone
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Why Now?
What made you interested in The Body Well Made Method at this point in your life?
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When it comes to your health, what usually causes things to fall apart? (check all that apply)
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I overthink and get overwhelmed
I start strong and fade after a few weeks
Stress throws me off
Travel or social situations derail me
One off day turns into a spiral
Progress feels slow and I lose momentum
I know what to do but do not follow through
There is so much conflicting information that I don’t know where to start
Other
What have you already tried in an effort to feel better or be healthier?
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How much mental space does your health take up right now?
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Very little
Some, but manageable
A lot
It feels constant
Which moments tend to be the hardest for you to follow through? (check all that apply)
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Mornings
Midday
Afternoons
Evenings
Weekends
When I’m stressed
When plans change
After an off day
If this program worked exactly as intended, what would feel different in your day-to-day life?
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Are there any constraints I should be aware of? (Schedule, work demands, travel, injuries, food limitations, family responsibilities, etc.)
This program requires consistent engagement over 90 days. Which best describes you right now?
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I’m ready to commit and follow through
I’m interested but unsure about consistency
I’m curious, but not ready for a 90-day commitment
What do you want to stop doing by the end of this program?
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