health coaching application Name * First Name Last Name Email * Location * How old are you? * What program are you interested in applying for? * The Silver Program - Monthly Health Coaching The Gold Program - Bi-Weekly Health Coaching The Platinum Program - Bi-Weekly Health Coaching + Energy Healing What would you like to achieve in the next 4 months? * When you see yourself reaching your goal, what does that look/feel like? * Describe what success means to you. Is it a number/feeling/quality of life? On a scale of 1-10, how would you rate your energy? * Do you have any digestive issues? If so, please describe below. * How would you describe your current stress levels? * What is your current activity level? * Please include minutes, days per week and type of activity. Do you have any medical conditions that I should be aware of? * For example, diabetes, high blood pressure, high cholesterol, etc. In my program I use the PEACE formula to help you find peace in your life & wellness. You will be lead through a protocol that 1. Points out root causes; 2. Eliminates pathogens and toxins; 3. Activates your liver and detox pathways; 4. Customizes nourishing foods for YOU, and; 5. Excels your wellness. Are you willing to explore this approach that often requires unlearning things you've heard about gut, weight loss & thyroid protocols previously? * Yes! I am open & willing. Are you prepared to invest in your health? * Yes! I'm ready. I still have some questions. Thank you for taking the time to fill out this application for health coaching! I know that it requires courage to take this first, exploratory step. I will review and be in touch as soon as possible.
