AWDemo · Axiom Wellness

Durango Practice Intake

Sent before a prospect's first session. Feeds the engine's dimension affinity weights.

Type: Intake
Status: published
Submissions: 38
Last edited: Apr 10, 2026

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Description

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Fields

01
Label
Type
Required
Field id
Used as the key in submissions.
Helper text
Optional.
02
Label
Type
Required
Field id
Used as the key in submissions.
Helper text
Optional.
03
Label
Type
Required
Field id
Used as the key in submissions.
Helper text
Optional.
04
Label
Type
Required
Field id
Used as the key in submissions.
Helper text
Optional.
Options (one per line)Spirit Body Intimacy Career Legacy
05
Label
Type
Required
Field id
Used as the key in submissions.
Helper text
Optional.
Options (one per line)Work pressure Sleep Relationships Physical health Finances Grief or loss Direction / purpose
06
Label
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Required
Field id
Used as the key in submissions.
Helper text
Optional.
07
Label
Type
Required
Field id
Used as the key in submissions.
Helper text
Optional.
Options (one per line)Under 15 min 15–30 min 30–60 min 60+ min

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Public link: /demo/axiom-wellness/forms/fb_lw_intake_3d5b

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  src="/demo/axiom-wellness/forms/fb_lw_intake_3d5b?embed=1"
  width="100%"
  height="640"
  frameborder="0"
  style="border: 0; max-width: 640px;"
></iframe>

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