Health Discovery

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Health Discovery

Thank you for taking the time to focus on you, your health and your goals! The questions below are a guide to learning what you need right now. I will be in touch with you to schedule a time to talk about your goals and how my programs can fit your needs.

Name *

Email Address *

Cell Phone #

Age *

What is your biggest health concern right now? *

Briefly describe your current symptoms. (e.g.-weight gain, acne, insomnia) *

What have you already tried to resolve these problems? *

How are these issues holding you back from your life, career and aspirations? *

Why is now the right time for you to address these issues? *

Do you think friends & family will be supportive of you making changes to improve these issues? *

Yes

Maybe

If we decide to work together, I'll find a way to invest in myself and my future: *

I have the necessary means to invest in my health and my future.

I have the ability to get the necessary means to invest in my health and my future.

I have no financial means to invest in my health and future right now.

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