Form cover
Page 1 of 1

Living Well in Midlife: 
What Really Matters to Women?

You matter. Your voice matters. And this is all about you.
This short survey is a chance to share what’s important to women like you when it comes to health, wellness, and your experience in this phase of life.
Your responses will help me shape my health and wellness offerings so that they truly reflect what women like you care about. As a thank you, you'll have the opportunity to download my free Beginner's Guide to Happy Hormones.

How old are you?

How old are you?
A
B
C
D
E

Have you gone through menopause yet?

Have you gone through menopause yet?
A
B
C

How would you describe your current lifestyle?

How would you describe your current lifestyle?
A
B
C
D

What is your current occupation?

What is your current occupation?
A
B
C
D
E

What are your top three (3) health & wellness goals right now? 
(Select 3)

What are your top three (3) health & wellness goals right now? (Select 3)
A
B
C
D
E
F
G
H
I
J

What are your biggest challenges in reaching those goals?

Have you ever worked with any of the following? 
(Select all that apply)

Have you ever worked with any of the following? (Select all that apply)
A
B
C
D
E
F
G

What did you like or not like about your experience(s)?

How do you usually learn about health & wellness topics? 
(Select all that apply)

How do you usually learn about health & wellness topics? (Select all that apply)
A
B
C
D
E
F
G
H
I
J
K
L
M

Do you follow any particular way of eating or a specific wellness philosophy?

How much time per week would you realistically devote to improving your health if the support felt right?

How much time per week would you realistically devote to improving your health if the support felt right?
A
B
C
D

If you had expert guidance, what format would work best to you?

If you had expert guidance, what format would work best to you?
A
B
C
D
E
F

For a 1:1 coaching program, how long a program would be most helpful for you to reach your goals?

For a 1:1 coaching program, how long a program would be most helpful for you to reach your goals?
A
B
C
D

What features would make a health and wellness program feel worth it to you? (Select all that apply)

What features would make a health and wellness program feel worth it to you? (Select all that apply)
A
B
C
D
E
F
G
H
I
J
K

If you were confident the program could help you meet your goals, how much would you feel comfortable investing over three (3) months?

If you were confident the program could help you meet your goals, how much would you feel comfortable investing over three (3) months?
A
B
C
D
E
F

What would make you say “yes” to investing in your health right now — and what might hold you back?

If you would like to receive my Beginner's Guide to Happy Hormones, please provide your name and email address below, and I’ll send it right to your inbox.

You can also choose to receive my monthly newsletter — a no-fluff, once-a-month email with helpful information, wellness tips, and ideas to support you in this chapter of your life. No spam, just ways to stay healthy, get inspired, and thrive in midlife.

You can also choose to receive my monthly newsletter — a no-fluff, once-a-month email with helpful information, wellness tips, and ideas to support you in this chapter of your life. No spam, just ways to stay healthy, get inspired, and thrive in midlife.