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PRIVATE WELLNESS ASSESSMENT

Before We Meet,

I’d Love To Understand

What Your Body

Has Been Carrying

There are no perfect answers here.
This assessment simply helps me understand your current season, your wellness struggles, your confidence, and the support you may need to feel like yourself again.

Your answers are private and judgment-free

Take your time

Speak honestly

This is a safe space

This only takes about 3–5 minutes

SCROLL DOWN TO FILL OUT

YOUR PRIVATE ASSESSMENT FORM

PRIVATE WELLNESS ASSESSMENT

Before We Meet,

I’d Love To Understand

What Your Body

Has Been Carrying

There are no perfect answers here.
This assessment simply helps me understand your current season, your wellness struggles, your confidence, and the support you may need to feel like yourself again.

Your answers are private and judgment-free

Speak honestly

This is a safe space

SCROLL DOWN

TO FILL OUT YOUR

PRIVATE ASSESSMENT FORM

This is for you if....

You’ve been feeling tired, disconnected from your body, frustrated with hormonal changes, or unsure how to rebuild your confidence, energy, and rhythm again.

This is not about shame. This is about support, clarity, and creating space for you to THRIVE.

This is for you if....

You’ve been feeling tired, disconnected from your body, frustrated with hormonal changes, or unsure how to rebuild your confidence, energy, and rhythm again.

This is not about shame. This is about support, clarity, and creating space for you to THRIVE.

How old are you? *

How long do you feel you’ve been experiencing menopause or hormonal symptoms? *

What physical changes are you experiencing right now, and how are they impacting your daily life? *

If you had a Magic Genie with the power to fulfil your wishes about your body, what all would you do? *

Do you believe you can have the body of your dreams, and what would that body feel like? *

Why is being healthy important to you? *

What happens in your life that causes you to fall off form your health goals? *

Do you feel like menopause is causing you to miss out on anything? If yes like what? *

What do your fears look like related to your body? *

On a scale of 1-10, how sexy do you feel? *

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2

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4

5

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7

8

9

10

What do you think you can do to prioritize your body? *

What has worked for you in the past? *

On a scale of 1-10 where would you say your confidence level is in Business and with your Body? *

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2

3

4

5

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9

10

If we identify 2-3 high impact changes during our chat, what’s your realistic timeline to implementations? *

Beyond this call, are you looking for ongoing strategic partnership, or is this a “one time tune up” to get unstuck? *

Ongoing strategic partnership

One time tune up

Full Name *

Date of birth *

Phone *

Email *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Ask Ms. Prince. You can reply STOP to unsubscribe at any time.

NEXT

How old are you? *

How long do you feel you’ve been experiencing menopause or hormonal symptoms? *

What physical changes are you experiencing right now, and how are they impacting your daily life? *

If you had a Magic Genie with the power to fulfil your wishes about your body, what all would you do? *

Do you believe you can have the body of your dreams, and what would that body feel like? *

Why is being healthy important to you? *

What happens in your life that causes you to fall off form your health goals? *

Do you feel like menopause is causing you to miss out on anything? If yes like what? *

What do your fears look like related to your body? *

On a scale of 1-10, how sexy do you feel? *

1

2

3

4

5

6

7

8

9

10

What do you think you can do to prioritize your body? *

What has worked for you in the past? *

On a scale of 1-10 where would you say your confidence level is in Business and with your Body? *

1

2

3

4

5

6

7

8

9

10

If we identify 2-3 high impact changes during our chat, what’s your realistic timeline to implementations? *

Beyond this call, are you looking for ongoing strategic partnership, or is this a “one time tune up” to get unstuck? *

Ongoing strategic partnership

One time tune up

Full Name *

Date of birth *

Phone *

Email *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Ask Ms. Prince. You can reply STOP to unsubscribe at any time.

NEXT

Copyright 2026 www.askmsprince.com. All rights reserved.

Copyright 2026 www.askmsprince.com. All rights reserved.

Copyright 2026 www.askmsprince.com. All rights reserved.