First Name
Last Name
Phone
*
Email
*
Have you worked with Meg before?
Yes
No
Where would you like to start working with Meg?
Reading her book "How to Crush Your Champion"
A Webinar on a specific topic
Online course up to 4 weeks
2 to 4 day in-person retreat experience
Online course up to 12 weeks
1-on-1 Coaching
What level have you worked with Meg before?
Read "How to Crush Your Champion" book
A Webinar - live or recorded
Program or Course
Coaching
Wellness Center Activities
Other
How much time are you ready to invest in a solution for your pain?
Less than 1 hour a week
5 hours a week
more than 5 hours a week
As much as it takes to get results
What are your goals related to? (check all that applies)
Nutrition & Digestion
Movement & Metabolism
Rest & Sleep
Stress
Toxicity
Self-Care
Something else
When it comes to motivation, what is a top motivating factor for you?
Longevity - length of life
Legacy (kids, lifestyle/modeling, etc)
Healthspan - quality of life
Mobility
Investment
Freedom
Other
At what level are you ready to invest in a solution to your pain?
0-$200
$201-$500
$501-2K
$2001-$5000
$5001-$10,000
More than $10,001
Have you downloaded any of the FREE resources Meg has offered?
Yes
No
Related to your pain - what have you tried?
Medications /Prescribed pain meds
KT tape
Physical Therapy
Massage
Energy Work
Mental Health Counseling
Topical Rub
Spiritual connection
Surgery
Other self-care tools
A coach of any kind
When would you like to start?
This week!
Next Week
Next Month
6 Months from now
How did you find this questionnaire?
Online
Referred by a friend
Family member
Worked with Meg
Word of Mouth
Saw an ad