Parent/Nurse Survey

Thanks so much for taking the time to fill out this survey for me! As you may or may not know, I’ve been trying to help my fellow nurses for awhile now and it means a LOT that you are helping me out!

Intials (totally optional)
First
How old are you?*
How many children do you have and what are their ages?*
What are you, as a working parent/nurse, struggling with the most to find time for yourself?*
How has the struggle you listed above impacted other areas of your life?*
What do you feel you need the MOST in order to improve your health?*
How do you feel being has affected your health?*
How old would you want to be when you retire and do you think you will be working at your current job when you retire?*
If you had a magic wand (how cool would that be, btw?!) what would you do that would help you feel better as a person both inside and out?*
What do you feel would be possible in your life if you had more energy, more money, more time, and more freedom?*

Jason Rozinka
Diamond Independent Beachbody Coach
218-390-4666
rozinkafitness@gmail.com