Complimentary Consultation Application
Thank you for your interest in booking a Look Great In Your Favorite Jeans Strategy Session! If it's a good fit, you will receive an email with details and a link to my calendar to schedule your free call.
Email address *
Name & phone # *
How did you hear about me? *
What are your top 3 health and wellness goals? *
Briefly describe your current symptoms or biggest health concern and why do you want to solve this problem right now? *
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? *
Age *
Do you think friends and family will be supportive of you making changes to improve this problem? *
What would you like help with? Check all that apply: *
Kelly, if I am selected and decide to work with you, I’ll find a way to invest in myself and my future: *
On a scale of 1 to 10 how committed are you to learning and making the changes you need so you can reach your goals? *
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