ACT: Quarterly Planning Questionnaire"*" indicates required fieldsPersonal Information:Name* First Last Email* Vision + Goals:If you could get one thing from this program what would it be?*What 1-3 goals would you like to accomplish over the next 12 weeks? Please be as specific as possible.*In order to accomplish your goals, are there any problems/issues/systems that need to be addressed?*Define your Personal Foundation. What are your best health and well-being practices? Even if you don't do them all the time, when you do, you feel your best.*Flash forward 3 months from now. You've completed all your goals. How are you feeling? Where are you at? What is going on with you?*Are you willing and able to make your planning calls a priority in your schedule?*Δ
