Sol Garcia Health Application

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Step 1- Complete this form before scheduling your complementary Curiosity Call with Functional Health & Wellness Practitioner, Alejandra Garcia. Please take your time completing this form. This will make for a highly efficient call and allow me to add more value to our conversation.

Step 2- Use this booking link to schedule your Curiosity Call, a 60 minute Zoom call that's all about YOU!

I will devote my time to explore what's been going on with you and we'll discuss your biggest health concerns and goals so that you can take back control of your health and give back to the world!

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.)

Email *

First and last name:

Preferred Phone *

Gender: *

Female

Male

Prefer not to say

Other:

What is your main health complaint? *

How often does it bother you? *

Every day

Once per week

2-3 times per week

Once per month

How long has it been going on? *

1-6 months

1-3 years

Over 3 years

Who or what would prevent you from completing a health rebuilding or weight loss program? *

Children

Spouse

Time

Self

Money

Fear

Job

Resources

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. *

Have you had any serious illness, hospitalization or injury? *

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? *

How much have you invested in your health so far? What was the result? *

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 excites you most about working with Alejandra? Be as detailed as possible! *

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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