Lifestyle Design Power Hour Assessment

This short survey will help us navigate our Power Hour session to best meet your needs. By filling out this survey, I will be able to customize our meeting so that our 60-minute session leads you further in the direction of success. this survey must e filled out to qualify for the Lifestyle Design Power Hour.

Click the button below to start.


Question 1 of 8

What area of lifestyle management are you wanting to improve, first?


Health (weight loss, aging-well, fitness, nutrition).


Home (decluttering, organizing, management, simplify cleaning, etc.)


Habits (morning routine, productivity, time management, etc.)


Happiness (pursuing a dream, relationship improvement, self-care, developing a winning mindset, adopting a spiritual practice, meditating, etc.)

Question 2 of 8

Where do you struggle the most?


Finding clarity


Fear of the unknown


Making progress on my goal


Avoiding Distraction

Question 3 of 8

Please describe what you have tried that has worked in striving toward completing this goal.

Question 4 of 8

Please describe what you have tried that has not helped you in completing this goal.

Question 5 of 8

What will make this Power Hour an exceptional experience for you?

Question 6 of 8

What is something you would like for me to know about you before we meet?

Question 7 of 8

What three questions do you have for me that you want us to discuss in our Power Hour?

Question 8 of 8

How committed are you to doing any necessary work to get more momentum in accomplishing your goal?


Very committed


Somewhat committed


Not committed yet; but, want to be


Not committed

Confirm and Submit