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Questionnaires

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Thank you for taking the time to complete this questionnaire! 

 

This isn’t just about gathering information—it’s an opportunity for you to pause, reflect, and gain insight into what’s driving you toward positive change. Your responses will help us tailor the experience for you, but more importantly, they will help you become more aware of your own motivations, challenges, and goals.

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💡 Think of it as a reflective exercise—a chance to check in with yourself and get clear on what you want from this journey. 

There are no right or wrong answers—just what feels true for you in this moment.

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🔹 Take your time—give yourself space to consider what resonates most.

🔹 Answer only what you’re comfortable with—this is for your benefit.

🔹 Be honest with yourself—this course is about growth, not perfection.

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Your wellness journey is uniquely yours. The more clarity you have now, the more empowered you’ll feel moving forward.

Let’s get started! 

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My Motivations

Thank you for taking a moment to reflect! Answer what feels true for you—your responses will bring clarity and help you move toward your goals.

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Back on Track 

Our Back on Track Questionnaire helps you reconnect with what matters most — offering clarity, insight, and a gentle nudge toward your next right step.

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My Lifestyle

Thank you for taking a moment to reflect on your daily choices. This will help you gain insight into what modifications can support your well-being. No right or wrong answers, just what feels true for you. Let’s begin!

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Service Name

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Get a Quote

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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.

By accessing or using this website, its programs, or materials, you acknowledge that you have read, understood, and agreed to the HIW Participant Waiver & Educational Coaching Agreement.

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© 2025 HIW Live | All Rights Reserved | Educational & Coaching Platform | By using this site, you acknowledge that you have read and agreed to the HIW Participant Waiver & Educational Coaching Agreement.

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