Application Name * First Name Last Name Email * Phone * (###) ### #### What part of your life are the most excited to work on and why? Where would you like to be in one year? * Make sure to include examples in the following categories: Health - Job - Relationship - Mental Health - What has been stopping you? * How often do you work out? * How is your diet? * What time do you wake up and go to bed? * When you start a new good habit how likely are you to stick with it? * Any toxic garbage you want to quit (smoking etc)? * Thank you!
