THE ILIOS METHOD CLIENT INTAKE QUESTIONNAIRE

This questionnaire is confidential and used solely to establish your baseline, identify constraints, and personalize implementation throughout the process.

THE ILIOS METHOD

CLIENT INTAKE QUESTIONNAIRE

How would you rate your sleep quality? 1 = Very Poor 10 = Excellent

1

2

3

4

5

6

7

8

9

10

How would you rate your daytime energy? 1 = Very Poor 10 = Excellent

1

2

3

4

5

6

7

8

9

10

Do you experience afternoon crashes?

Yes

No

Do you often feel:

Unable to fully switch off

Mentally overstimulated

Anxious

Easily distracted

Irritable

Burned out

None of the above

How many alcoholic drinks do you consume per week?

0

1

3-7

7 or more

Do you currently use any wearable devices?

WHOOP

Oura

Apple Watch

Garmin

Other

None

Powered by Kajabi

Join Our Free Trial

Get started today before this once in a lifetime opportunity expires.