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GETTING BACK ON TRACK – LET’S GET STARTED!

We’re thrilled you’re here! 🎉

Before we dive in, we’d love to get to know you a little better.

Your responses will help us tailor your experience and ensure you get the most out of this journey. Please select at least one choice.

First name*

Last name*

Email*

1️⃣ What inspired you to join the "Back on Track" course? (Select all that apply)

✅ I’m ready to strengthen my body, feel more energized, and improve my physical health.

✅ I want a deeper understanding of holistic wellness and how different aspects of health connect.

✅ I have specific health concerns and want to explore lifestyle-based approaches.

✅ I’m looking to boost my mental and emotional well-being with practical strategies.

✅ I want to set meaningful health goals—and not only achieve them, but sustain them for a lifetime!

✅ I want to reconnect with my body and mind, trusting my own inner wisdom, enhancing my connection with Self.

2️⃣ What are you hoping to gain from this experience? (Select all that apply)

🌱 Practical tools & strategies – I want real, science-backed methods for a healthier, more fulfilling life.

💡 Personalized guidance – Insights that align with my unique health journey.

🤝 A supportive community – It feels great to connect with others on a similar path!

🏥 Health insights – I want to understand how lifestyle changes impact overall well-being. (Note: This course provides wellness support but does not replace medical care.)

🎯 Goal-setting clarity – I want structure and direction to stay on track.

3️⃣ How motivated are you to make positive changes in your wellness journey?

🔥 I’m ALL IN! – Ready to take action and make lasting changes!

💪 I’m motivated but need structure, support, and accountability.

🤷 I’m interested but unsure where to start – I’d love guidance!

😕 I want to change but struggle with motivation – Help me stay inspired.

🙅 I’m not feeling motivated right now but open to learning more.

4️⃣ Which areas of holistic health matter most to you? (Select all that apply)

🏋️‍♂️ Physical Fitness – Strength, endurance, flexibility, and sustainable movement.

🧘‍♀️ Stress Management – & Emotional Balance – Learning techniques to manage stress and cultivate serenity. Finding inner balance and reducing overwhelm.

🥗 Nutrition – Eating in a way that nourishes both body and mind.

😴 Sleep Quality – Developing habits for restorative sleep and daily energy. Restorative sleep and waking up refreshed.

🧠 Mental & Emotional Well-being – Self-care, mindfulness, and emotional resilience. Building resilience, self-awareness, and emotional strength.

💙 Chronic Condition Support – Exploring lifestyle adjustments to manage symptoms and support healing.

🚀 Personal Growth – Strengthening confidence, mindset, and emotional self-awareness.

⚡ Energy Levels – Reducing fatigue and sustaining vitality.

⚖ Weight & Metabolic Health – Developing balanced, sustainable habits.

🤝 Social Well-being – Strengthening relationships and fostering meaningful connections.

5️⃣ What potential challenges might make this journey harder for you? (Select all that apply

⏳ Time Struggles – Juggling work, family, and self-care feels overwhelming.

🤷‍♂️ Not Sure Where to Start – I need guidance on the best approach for me.

⚡ Staying Motivated – It’s discouraging when results take time.

💰 Financial Barriers – Budget constraints for food, fitness, or wellness programs.

🙅 Lack of Support – Friends or family don’t always understand my wellness goals.

😞 Emotional Roadblocks – Stress, anxiety, or self-doubt that makes progress harder.

🏥 Physical Challenges – Injuries, disabilities, or health conditions that impact my routine.

🌍 Access to Resources – Limited options for healthy food, gyms, or wellness support.

⚖ Work-Life Balance – Struggling to prioritize well-being with other responsibilities.

🍽 Dietary Restrictions – Allergies, intolerances, or specific eating preferences.

💬 Anything else? Share your thoughts! We’re here to support you. ❤️

Your thoughts matter! Share any specific goals, concerns, or personal insights that could help us better support you on this journey. 😊

HIW

Professional Responsibility Statement for Wellness Education

HIWLive.com offers science-based, heart-aware information created to inspire awareness, self-responsibility, and informed wellness choices. All materials are shared for educational purposes only and are intended as general guidance for personal exploration of wellbeing.

Medical decisions, nutritional plans, and individualized care are the responsibility of licensed healthcare professionals who can evaluate your personal needs and medical history. HIW Live does NOT provide medical care, therapy, or nutrition treatment. Its purpose is to empower learning, self-understanding, and lifestyle awareness.

Every person’s journey is unique, and individual experiences will differ.

For urgent or emergency situations, immediately contact local emergency services or your healthcare provider.

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HIW Live uses secure tools such as Zoom and WhatsApp to foster connection and education. While these tools support communication, absolute privacy cannot be guaranteed—please share mindfully and respect others’ confidentiality.

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