Personal Diagnostic INTAKE

This information helps me understand your history and current approach — so I can give you clear, personalised insight.

Please take a few minutes to complete the intake below. Your answers help me see:

• what you’ve tried before

• what’s currently happening in your body

• where progress has become stuck

There are no right or wrong answers. The more honest and specific you are, the more valuable your diagnostic will be. Once submitted, I’ll personally review your responses and record your personalised video within 72 hours.