Sol Garcia Health Application
Complete this form to get your complementary Curiosity Call with Functional Health & Wellness Practitioner, Alejandra Garcia.

The Curiosity Call is a 45 minute call that's all about YOU! 
I will devote my time to explore what's been going on with you and we'll discuss what your biggest health concerns and goals are so that you can take back control of your health and give back to the world!

Tell me about a little bit about yourself and how I can help you.  Fill out the form below and you'll be contacted to schedule your Curiosity Call.  I thank you for being here and appreciate you investing your time and prioritizing your health! (Note: Existing clients do not qualify for this free call.)

You may also email me at solgarciahealth@gmail.com or call 909.297.6905 and leave a voice message plus a good time to reach you.

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Email *
First and last name:
Preferred Phone *
Gender: *
What is your main health complaint? *
How often does it bother you? *
How long has it been going on? *
Who or what would prevent you from completing a health rebuilding or weight loss program? *
What have you tried so far that hasn't worked? *
What is your current diet like? Please be specific: list breakfast, lunch, dinner and snacks, as well as the times you eat. *
Are you taking any supplements or medications? Please list what you take and what it's for. *
What would you like your health to be in 3 months from now?  How about 6 months from now? *
What obstacles, challenges and struggles do you face regarding diet and lifestyle? *
If we were to work together, what would you expect to achieve from working with me? *
What are 5 things you LOVE about your life *
How committed are you to your goals on a scale of 1-10? *
A copy of your responses will be emailed to the address you provided.
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