Niki Loe Customer Survey

Your responses will be kept confidential and used only to help Niki better understand the needs and experiences of her community. Responses will be reviewed by Niki Loe and her marketing consultant for research purposes and will not be shared publicly or used as testimonials without your express permission.

Personal information

First Name

Last Name

Email Address

Questionnaire

01. How do you know Niki?

02. Which best describes where you're at with your health and wellbeing right now?

Untitled checkboxes field

I feel healthy and want to keep improving.

I'm trying to get back on track.

I feel overwhelmed and don't know where to start.

I've tried lots of things but nothing seems to stick.

I'm dealing with ongoing health challenges.

Other (please specify below)

03. What are the biggest challenges you're currently facing with your health and wellbeing? (please select up to 3)

04. If you could change one thing about your health or wellbeing today, what would it be?

Niki Loe Customer Survey

Personal information

Questionnaire

01. How do you know Niki?

02. Which best describes where you're at with your health and wellbeing right now?

03. What are the biggest challenges you're currently facing with your health and wellbeing? (please select up to 3)

04. If you could change one thing about your health or wellbeing today, what would it be?

05. What do you feel is stopping you from achieving that?

06. What have you already tried to improve your health and wellbeing?

Other (please specify below

07. Which of the following have you invested in over the past 3 months?(Select all that apply, or select ‘None of the above).

Movement

Recovery & Self-Care

Nutrition & Health Support

Supplements & Wellness

Mind & Wellbeing

Other

08. How does your current health and wellbeing make you feel on a day-to-day basis?

09. What does your ideal version of 'feeling healthy' look like?

10. What's the biggest thing you've always wished you could be more consistent with?

11. What type of support would help you most?

12. If Niki could create the perfect programme for you, what would it help you achieve?

13. Is there anything else you'd like Niki to know about your health or wellbeing journey?

14. Which of Niki’s philosophies, practices or rituals resonate most with you or are already part of your daily life?