Health Coaching with Dr. Marsie
Client application for health coaching with self-care expert, international speaker, and author, Dr. Marsie Ross
Email address *
First Name *
Last Name *
Mobile Phone Number *
Age
Where do you currently live? *
Children?
Relationship status
Clear selection
Occupation
How did you hear about Dr. Marsie? *
Describe your current self-care practice. *
What are your self-care goals? *
What has prevented you from reaching your goals? *
What are your biggest health challenges? *
Do you take any supplements or medications? Please list *
Do you have a support system or accountability partners? *
If you had a magic wand, what would you want your self-care to look like in 6 months? *
Why do you want to work with Dr. Marsie? *
Are you in it to win it or just looking for information on the programs? *
How passionate are you about getting the tools you need to thrive in your health, relationships and career? Why? *
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