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Appointment Date: 2023-09-13 17:15
Personal Information
| 1 First Name Brenda |
| 2 Last Name Morrison |
| 3 Age 52 |
| 4 DOB 10/08/1970 |
| 5 Height 62 |
| 6 Weight 146 |
| 7 Place of Birth (City & State) Tucson, Arizona |
| 8 Current Address (City & State) Lake Park, Florida |
| 9 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. NO |
Family Life
| 1 Are you the only child in your family? No |
| If your answer is no, how many siblings do you have? Are they brothers or sisters? one sister |
| Are you the oldest, youngest, or middle child? Youngest |
| 2 Did you grow up with both parents in the household? Yes |
| If your answer is no, which parent were you raised by, your mother or father? |
| Were you raised in an upper-, middle-, or lower-class family? |
| 3 Did you experience any trauma in your childhood? If so, please explain in depth. No |
| If so, please explain in depth. |
| 4 Were you physically, sexually, emotionally, or mentally abused as a child? No |
| If so, by whom? |
| 5 Did you experience abandonment as a child? No |
| If so, by whom? |
| 6 Did you get along with your siblings during your childhood? Yes |
| As a child, which sibling were you close to? sister |
| 7 Were you a latchkey kid growing up? Yes |
| 8 Did you relocate a lot as a child? No |
| 9 Was your dad, mom, or both parent’s alcoholics when you were younger? Dad |
| 10 Is your dad, mom, or both parents still alcoholics? Neither |
| 11 Were you raised in a loving family as a child? Yes |
| 12 Did you hear the words, “I love you” often as a child? No |
| 13 Did you receive hugs, and affection from your parents as a child? No |
| 14 Were you close to your dad, mom, or both parents growing up? Mom |
| 15 Were you close to your siblings growing up? Yes |
| 16 Did you experience family dinners as a child? Yes |
| 17 Did you take family vacations as a child? Yes |
| 18 Did you grow up in a strong, supportive, family environment? No |
| 19 Do you have any children? Yes |
| If so, how many? 3 |
| Do you have a close relationship with your children? Yes |
| 20 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Personal Life
| 1 Are you an introvert, extrovert, or both? Introvert |
| 2 What drives you to get out of bed every day? responsibility |
| 3 What are your favorite hobbies? reading |
| 4 What makes you happy? peace and harmony |
| 5 What things irritate you or make you upset? dishonesty and irresponsible behavior |
| 6 Do you have insecurities? Yes |
| If so, what are they? trusting others |
| 7 Do you think you are pretty or handsome? Yes |
| 8 Do you love yourself? Yes |
| 9 Are you insensitive to other people’s feelings? Sometimes |
| 10 Is it easy for you to show empathy? Yes |
| 11 Is it easy for you to be apathetic? Yes |
| 12 Do you struggle with forgiveness? Yes |
| 13 What are you passionate about? personal accomplishments my family |
| 14 Describe your perfect day in detail. any weekend day where there is no email to answer, no customer to deal with, no estimate to write, no bill to pay, no phone to answer, no order to place, no delivery to receive, no work to do, no deadline to meet, no meetings and no stress |
| 15 Do you find that you get jealous easily? No |
| 16 Do you compare yourself to others? No |
| 17 List 5 qualities that you love about yourself. Loyalty Work Ethic Determination Strength (inner/mental) Privacy |
| 18 List 5 qualities that you want to improve or strengthen within yourself. Understanding Expectations of others (lowering them) Self Love Self Care Future Focus |
| 19 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Education
| 1 What is your highest level of education? 4-yr University (Bachelor's Degree) |
| 2 Did you make friends easily in school? Yes |
| 3 Were you popular in school? Yes |
| 4 In school were you: shy, outgoing, reserved? Reserved |
| 5 Were you bullied in school? No |
| 6 Did you bully students in school? No |
| 7 What subject(s) were easy to learn in school and what subject(s) did you struggle with? struggled with Geometry and Calculus |
| 8 What was your favorite subject in school? English (and Spanish) |
| 9 What was your least favorite subject in school? Geometry/Calculus |
| 10 Did you have a favorite teacher or instructor in school/college? Yes |
| If so, why were they your favorite? They made me want to perform well in school, I didn't want to disappoint them, which is, in part, why I was so academically driven. |
| 11 Do you value the education you have received? Yes |
| 12 In what ways do you continue to educate yourself in your career and/or daily life? Maybe at this point, I don't find continued education beyond daily challenges I have to deal with or overcome |
| 13 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Nutrition
| 1 Did you grow up drinking well water, faucet water, bottled water, or filtered water? Well Water |
| 2 Did you have home cooked meals as a child, or did you eat fast food and at restaurants growing up? Home Cooked Meals |
| 3 How many meals a day did you eat as a child? 3x |
| 4 Did you pack a lunch to school, or did you eat the school’s breakfast and lunch? Packed a lunch |
| 5 Did you drink a lot of sodas, juices, or kool-aid growing up? No |
| 6 Did you eat junk food and candy as a child? No |
| If so, how many times a day? |
| 7 Do you currently drink alcohol? No |
| If so, how many times in a week? |
| What types of alcoholic drinks do you consume? |
| Are you an alcoholic? |
| Do you use drinking alcohol to numb yourself from your traumas, pains, and problems? |
| If Yes, Please Explain |
| Why do you drink alcohol? |
| How old were you when you had your first alcoholic beverage? |
| 8 Do you currently eat fast food and at restaurants? Yes |
| If so, how many times in a week? 1x |
| Where do you normally eat at? Sit down restaurants (maybe once a week) NEVER DO I EAT FAST FOOD, NEVER |
| 9 Do you cook your meals at home? Yes |
| If so, how many times in a week? More |
| 10 Do you currently consume sugary foods or desserts? No |
| If so, how many times in a week? |
| What do you eat? |
| 11 Do you incorporate whole foods in your nutrition? Yes |
| 12 Do you eat fruits and vegetables? Yes |
| What are your favorite fruits? ALL berries, cherries, grapes, melons, pineapple, peaches and pears |
| What are your favorite vegetables? all except for broccoli and cauliflower |
| 13 Do you purchase organic produce? Yes |
| If so, what produce do you buy organic? ALL organic |
| 14 Do you purchase organic groceries? Yes |
| If so, what groceries in particular do you buy organic? all organic |
| 15 Do you follow any particular diet or nutritional lifestyle? No |
| Which nutritional lifestyle do you currently follow |
| Please type the nutritional lifestyle that you follow |
| 16 Do you eat to live or live to eat? Eat to Live |
| 17 What is your relationship with food? I eat if I'm hungry |
| 18 Are you an emotional eater? No |
| 19 Do you struggle with cravings? No |
| If so, what foods do you crave? |
| 20 Do you have any food allergies or intolerances? Unsure |
| If so, please list all food allergies and intolerances in detail |
| 21 How many ounces, cups or gallons of water do you drink a day? at least 64 ounces |
| 22 What type/brand of water do you mostly drink? Just Water |
| 23 Are you a coffee drinker? No |
| How many cups of coffee per day do you drink? |
| 24 Do you consume energy drinks, soda/pop, or other caffeinated beverages? No |
| If so, please list them in detail. |
| 25 Please list in detail what a typical day of eating looks like. Today I ate at 11am about 14 strawberries, 6 blackberries and 10 raspberries At 2pm I at one lobster tail (no butter) with lemon At 3:45 I ate 10 hazelnuts I drank four sport bottles of water and two small cartons of Just Water |
| 26 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. |
Fitness
| 1 Do you currently workout? Yes |
| Please describe your regime, routine, or program in detail HIIT workout |
| How many days per week do you train? 4-5 |
| Where do you train? Fit Body Boot Camp |
| 2 Do you have a regime, routine, or program that you follow? Yes |
| 3 Is exercising a part of your lifestyle? Yes |
| Does exercising make you feel good? yes |
| Do you notice that you have better days when you exercise? yes |
| 4 Do you find yourself overtraining your body? No |
| If so, what body part(s) do you overtrain and why do you overtrain them? |
| 5 Do you think that you can be obsessive with your training at times? No |
| If so, please explain |
| 6 Do you enjoy working out alone or with others? With Others |
| 7 When you are not training, what wellness practices do you have in place throughout the day? I'm not training (for anything) |
| 8 Are you an athlete? No |
| Please Choose |
| Please specify |
| 9 Do you have any fitness or wellness goals? No |
| If so, please explain in detail. |
| 10 If you have never been physically active, would you be open to start a regime, routine, or program? Yes |
| 11 Did you grow playing sports? Yes |
| Please list all sports that you played Softball |
| 12 Were you physically active as a child? Yes |
| 13 Are you sedentary at your job or career or do you move around? move around |
| 14 Do you walk during your breaks at work? Yes |
| 15 Do you currently have any injuries? No |
| If so, please explain in detail. |
| 16 Have you ever had any surgeries? Yes |
| If so, please explain in detail. Mastectomy 11/22 |
| 17 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Lifestyle
| 1 Do you consider yourself to be a healthy person? Yes |
| 2 Is having a healthy mind, body, and soul important to you? Yes |
| 3 What is your stress level like? high |
| 4 How well are you sleeping? 5 out of 10 |
| 5 How many hours per night are you sleeping? 5-6 |
| 6 How do you feel when you wake up? ok |
| 7 Do you have PTSD (Post Traumatic Stress Disorder)? No |
| 8 Are you currently on any medications? Yes |
| If so, please list medications and for how long you’ve been taking them. arimidex zoladex injection |
| 9 Are you using drugs either recreationally or for medical reasons? No |
| If so, please list all drugs that you are taking and for how long you’ve been using them. |
| 10 Do you struggle with any eating disorders? No |
| If so, please explain in detail. |
| 11 Do you struggle with showing your emotions to others? No |
| If so, Please explain in detail. |
| 12 Do you struggle with controlling your emotions? no |
| 13 Do you enjoy being alone, around others, or both? Both |
| 14 Do you easily get drained by people? No |
| 15 Do you feel lonely? No |
| If so, how often and why? |
| 16 Do you struggle with depression? No |
| If so, how often and what makes you depressed? |
| 17 Do you get angry easily? No |
| If so, what in particular makes you angry? |
| 18 What (if anything) are you unwilling to give up? nothing |
| 19 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Relationships & Romance
| 1 What is your current relationship status? Married |
| 2 Have you ever been married? Yes |
| 3 Have you ever been divorced? Yes |
| 4 Have you ever been cheated on? Yes |
| More than once? Yes |
| By Whom? Different People |
| 5 Have you ever cheated? No |
| If so, how many times? |
| Did you cheat on the same person, with different partners, or both? |
| 6 Have you ever been in love? Yes |
| 7 Do you use sex as a form feeling loved or wanted? No |
| 8 Do you feel like you have ever been loved by any of your partners? Yes |
| 9 What is your love language in relationships? Acts of services |
| 10 Are you romantic? No |
| What ways do you show your romantic side? |
| 11 Do you have issues with trust in relationships? Yes |
| 12 Do your partners have trouble trusting you? No |
| 13 Do you communicate well in relationships? Yes |
| 14 Do your partners communicate well with you? Yes |
| 15 Do you struggle with abandonment in relationships? No |
| 16 Are you secretive in your relationships? No |
| 17 Have you ever felt like you were putting more effort into your relationship than your partner? Yes |
| 18 Is there passion in your relationship? Yes |
| 19 Do you find that you are bored or just coexisting in your relationship? No |
| 20 Do you believe in unconditional love? Yes |
| 21 Have you ever been in an abusive relationship? No |
| If so, please describe the situation as detailed as you can. |
| 22 Have you ever been the abuser in any of your relationships? No |
| 23 Is your partner your best friend? Yes |
| 24 Does your partner consider you their best friend? Yes |
| 25 What areas of your relationship do you think need improvement? patience |
| 26 Are you happy in your current relationship? Yes |
| 27 Do you think your partner is happy with you? Yes |
| 28 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Media & Technology
| 1 How many hours a day do you spend on your phone? 1-2 hours |
| 2 How many minutes/hours a day do you talk and text on your phone? 1-2 hours |
| 3 How many hours a day do you spend on your computer or laptop? 4-6 hours |
| 4 Do you have any social media accounts? No |
| If so, what social media platforms are you on? |
| 5 How many hours a day is spent on social media platforms? less than an hour |
| 6 What other technology devices do you have? none |
| 7 Is time spent on social media affecting your family, romantic relationships, friendships, or business relationships, or job/career? No |
| If so, please explain in detail. |
| 8 Do you use social media as an escape from reality or from your personal problems? No |
| If so, please explain in detail. |
| 9 Do you use your phone, laptop, or other electronic devices like a kindle to read? No |
| If so, what do you use? |
| 10 Do you like to read hardcover books? Yes |
| 11 Do you prefer reading a hardcover book or using an electronic device to read? Hardcover Book |
| 12 How many hours per day do you read? less than an hour |
| 13 How many hours per week do you read? 1-2 hours |
| 14 What is your favorite novel? don't have a favorite |
| 15 What are you currently reading? Clownfish |
| 16 Is what you listen to, watch, or read mostly positive, upbeat, and inspirational, or violent, negative, and aggressive? Positive, Upbeat, and Inspirational |
| Please explain in detail why you choose to listen to, watch, or read violent, negative, and aggressive content. |
| 17 Have you ever catfished anyone? No |
| if so, Please explain in detail. |
| 18 Are you on any dating apps? No |
| If so, what dating apps are you on? |
| 19 Do you find yourself pretending to be someone else on social media, dating apps, or any other platform? No |
| 20 Do you play video games? No |
| If so, how many hours a day? |
| Are the video games you play violent and use vulgar language? |
| 21 List all of the video games you play NONE |
| 22 Do you listen to music? Yes |
| 23 What are your favorite genres? Chill Lo Fi Mix Instrumental Light Jazz |
| 24 What are your favorite artists or bands? Milky Chance James Taylor |
| 25 How does the music you listen to make you feel? relaxed |
| 26 Do you listen to music that is upbeat and positive, or do you listen to music that is vulgar, aggressive, and negative? Upbeat and Positive |
| 27 How does hearing profanity in music make you feel? I don't listen to music like that |
| 28 What time of day do you find yourself listening to music? most the day |
| 29 Do you watch porn? No |
| How many hours a day do you watch porn? |
| How many hours a week do you watch porn? |
| Does porn affect your sex life with your partner or significant other? |
| If so, please explain in detail. |
| Do you have an addiction to porn, or have you ever been told you have an addiction to porn? |
| If so, please explain in detail. |
| 30 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Spirituality
| 1 Are you spiritual, religious, or neither? Spiritual |
| What is your denomination (Christian, Catholic, Muslim, Jewish, Buddhist, Atheist, etc.)? |
| 2 Did you grow up in a spiritual or religious family? Yes |
| 3 Do you believe in God? Yes |
| 4 Do you believe in practices like prayer, meditation, unconditional love, forgiveness, etc.? Yes |
| If so, list the practices you believe in. meditation |
| 5 Do you believe you have a purpose in life? Yes |
| If so, what do you believe your purpose is? positive influence and to encourage my children to be good people |
| 6 Have you ever felt a void in your life? Yes |
| Do you currently feel a void in your life? No |
| 7 Do you practice gratitude? Yes |
| 8 Do you journal? No |
| 9 Do you read anything motivational or uplifting on a regular basis? No |
| 10 When was the last time you read a book? Labor Day |
| 11 Do you have faith? Yes |
| If so, what do you have faith in? the Universe |
| 12 How do you want to be remembered before you take your last breath in your lifetime? as a good person, a hard worker, a good provider, loving parent and partner |
| 13 What is your favorite quote or motto? You need to believe in yourself and in what you do...be tenacious and genuine. |
| 14 Do you go to church? No |
| 15 What legacy do you want to leave behind for the next generation? A better foundation than what I had |
| 16 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Career
| 1 Do you believe you have a job or a career? Job, Career |
| Please explain I own my busines |
| 2 What is your job or career? Interior Production |
| 3 How long have you been in your job or career? 28 yrs |
| 4 Do you enjoy your job or career? Yes |
| 5 How many hours a week do you work? 45+ |
| 6 Do you make time for yourself when you are not working? Yes |
| 7 Do you make time for your family and friends when you are not working? Yes |
| 8 Are you exhausted once you get home from your job or career? Yes |
| 9 Do you currently feel fulfilled in your job or career? Yes |
| 10 What would be your ideal career that would make you happy to have? JUDGE |
| 11 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
Finance
| 1 Do you struggle with saving money? No |
| Do you struggle with spending money? No |
| 2 What is your mentality towards money? It's not what you MAKE, it's what you KEEP |
| 3 Do you pay your bills and other expenses on time? Yes |
| 4 Are you currently in debt? No |
| 5 Have you ever been in debt? No |
| 6 Have you ever filed for bankruptcy? No |
| 7 Do you have good credit? Yes |
| 8 Do you equate money to happiness? Yes |
| 9 Is money always a topic in your relationship? No |
| 10 Are you living paycheck to paycheck? No |
| 11 Is there anything else you would like to share in this section that wasn’t mentioned? Remember all information is confidential. no |
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