Questionnaire

1. On a scale from 1 -10 how would you describe your physical health?

2. On a scale from 1 -10 how strongly do you feel your negative emotions...ie..stress, anxiety, fear - impact your physical health?

3. How interested would you be in program that not only effectively dealt with your body, but had powerful emotion "hacking" tools that would help you stop the emotional roller coaster?

4. Would it be worth 20-30 minutes to chat with one of Kim's team members for a free health assessment?

If your answer was yes, how would you prefer to be contacted?

Please provide your phone number if a call or text were your preference.