BREAKTHROUGH PROGRAMME

LET'S START YOUR COMPREHENSIVE ASSESSMENT

Time to dig a little deeper...

a look at your health, life & capacity...

Please take as much time as you need to complete this at a time that suits you. Once you've answered the questions you'll be able to pick a date and time for your Onboarding call with Carolyn.

In one sentence, why are you here?*
What are the 1 to 3 symptoms/challenges that affect you most right now?*
What impact is this having on your life (consider how you feel, how you experience life, your work, and the impact on the people around you)*
What have you already tried, and how did that work for you?*
Please tick any that apply to you*
If you ticked any of the above, please provide brief details
What other diagnosed health conditions do you have, if any?*
What significant illnesses, accidents, operations or injuries have you had, if any?*
What medication are you currently taking, if any, and what's it for?*
What supplements are you currently taking, if any?*
How would you rate your sleep duration and quality?*
How would you rate your movement or exercise most days?*
What does your typical food intake look like in a day? (think about all your meals and snacks)*
How much plain water (tap/filtered/still bottled) do you typically drink in a day?*
Do you smoke or vape?*
How would you describe your work-life balance?*
What's most challenging about a typical day for you?*
Typically how many hours a day do you spend on devices? (phone/laptop/computer/games console/tv)*
How would you describe your childhood?*
As an adult, have you experienced any particularly stressful periods or events? (for example, bereavement, relationship breakdown, work stress, illness, caring responsibilities)*
Executive Capacity: Which of these best describes your mind at the moment?*
Emotional Capacity: Which of these best describes how you're managing emotionally?*
Embodied Capacity: Which of these best describes how your body is supporting you through your day, taking into account things like movement, weight, pain, symptoms or any ongoing health conditions?*
Energy Capacity: Which of these best describes your energy through the day?*
Which of these best describes how your day-to-day life fits with what's genuinely important to you?*
What else, if anything, would you like Carolyn to know before your onboarding call?
Imagine we're twelve months from now and everything has gone as well as it possibly could. What's changed? How are you feeling? What are you doing that you can't do now?*
Imagine 12 months from now and you've not been able to make the changes you desire. How might your life be impacted? What might you no longer have or be able to do that you love?*
How ready do you feel right now to invest in your future health?*