Welcome to your Konciencia family Complete the following form so we can help you find what are the smallest and easiest changes that will promote the biggest improvements in your life. Nuevo Daimon - General - EnglishLast 4 digits of your phone number.CountrySelect the country where you live.AfganistánAlbaniaAlemaniaAndorraAngolaAnguillaAntigua y BarbudaAntártidaArabia SauditaArgeliaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelauBelizeBeninBermudaBhutanBielorrusiaBirmaniaBoliviaBonaire, San Eustaquio y SabaBosnia y HerzegovinaBotswanaBrasilBrunéiBulgariaBurkina FasoBurundiBélgicaCabo VerdeCamboyaCamerúnCanadáChadChileChinaChipreCiudad del VaticanoColombiaComorasCorea del NorteCorea del SurCosta RicaCosta de MarfilCroaciaCubaCuraçaoDinamarcaDjiboutiDominicaEcuadorEgiptoEl SalvadorEmiratos Árabes UnidosEritreaEslovaquiaEsloveniaEspañaEstados Unidos (EE.UU.) Islas VírgenesEstados Unidos (EEUU)EstoniaEtiopíaFilipinasFinlandiaFiyiFranciaGabónGambiaGeorgiaGhanaGibraltarGranadaGreciaGroenlandiaGuadalupeGuamGuatemalaGuayana FrancesaGuernseyGuineaGuinea EcuatorialGuinea-BisáuGuyanaHaitíHondurasHong KongHungríaIndiaIndonesiaIrakIrlandaIránIsla BouvetIsla NorfolkIsla Santa ElenaIsla de ManIsla de NavidadIslandiaIslas AlandIslas CaimánIslas CocosIslas CookIslas FeroeIslas Georgias y Sandwich del SurIslas Heard y McDonaldIslas MalvinasIslas Marianas del NorteIslas MarshallIslas SalomónIslas Turcas y CaicosIslas Vírgenes BritánicasIslas de ultramar menores de Estados Unidos (EEUU)IsraelItaliaJamaicaJapónJerseyJordaniaKazajistánKeniaKirguistánKiribatiKosovoKuwaitLaosLesotoLetoniaLiberiaLibiaLiechtensteinLituaniaLuxemburgoLíbanoMacaoMacedoniaMadagascarMalasiaMalauiMaldivasMaltaMalíMarruecosMartinicaMauricioMauritaniaMayotteMicronesiaMoldaviaMongoliaMontenegroMontserratMozambiqueMéxicoMónacoNamibiaNauruNepalNicaraguaNigeriaNiueNoruegaNueva CaledoniaNueva ZelandaNígerOmánPakistánPanamáPapúa Nueva GuineaParaguayPaíses BajosPerúPitcairnPolinesia FrancesaPoloniaPortugalPuerto RicoQatarReino Unido (UK)República CentroafricanaRepública ChecaRepública Democrática del Congo (Kinshasa)República DominicanaRepública del Congo (Brazzaville)ReuniónRuandaRumaniaRusiaSahara OccidentalSamoaSamoa AmericanaSan BartoloméSan Cristóbal y NievesSan MarinoSan Martín (Países Bajos)San Martín (parte de Francia)San Pedro y MiquelónSan Vicente y las GranadinasSanta LucíaSanto Tomé y PríncipeSenegalSerbiaSeychellesSierra LeonaSingapurSiriaSomaliaSri LankaSudáfricaSudánSudán del SurSueciaSuizaSurinamSvalbard y Jan MayenSwazilandiaTailandiaTaiwánTanzaniaTayikistánTerritorio Británico del Océano ÍndicoTerritorios PalestinosTerritorios australes francesesTimor OrientalTogoTokelauTongaTrinidad y TobagoTurkmenistánTurquíaTuvaluTúnezUcraniaUgandaUruguayUzbekistánVanuatuVenezuelaVietnamWallis y FutunaYemenZambiaZimbabueDate of birth (dd/mm/yyyy - NOTE: Click on the year to choose your year of birth.)In general, what kind of food do you have for dinner?What time do you usually finish dinner?What do you usually do between finishing dinner and going to bed?Do you eat or drink anything between finishing dinner and going to bed? If so, what?Do you have any bedtime routine?In general, what time do you usually go to bed?Do you usually wake up during the night? (Automatically, to go to the toilet, kids/babies, etc.)If you wake up during the night, is it easy for you to go back to sleep?In general, what time do you usually wake up?Do you wake up with an alarm or naturally?If you use any sleep-tracking device, how many hours of sleep does it generally record?From 1 to 5, with 1 being very low and 5 being very high, what is your energy level when you wake up?From 1 to 5, with 1 being very low and 5 being very high, what is your energy level when you wake up? 1 2 3 4 5Do you follow a specific routine when you wake up?What time is your first meal of the day?Generally, what do you eat as your first meal of the day?What time do you usually start working?What time is your second meal of the day?Generally, what do you eat as your second meal of the day?Do you eat between meals? If so, can you give a some examples?How many times a week do you exercise, and what type of exercise do you do?Do you take any drugs/medicines? Which one(s)?Do you take any supplements? Which one(s)?Do you take protein powder as a supplement? If so, which brand?Do you have any health conditions?How much do you weigh?How tall are you?What are the 3 most important objectives that you'd like to achieve with Konciencia?Which are potential obstacles that can be in your way to achieve those objectives? I give my consent for this website to store the information I have submitted so that they can respond to my inquiry. I have read and accept the Terms and Conditions, Privacy Policy, and Code of Conduct.Submit
