Roots of Wellness 1-1 Program
Welcome to the Roots of Wellness coaching application! I am SO happy to have you here :) This form is designed to help me understand your unique needs and goals. After filling it out, you will be invited to schedule a free 20-minute call with me to see if we are a good fit and talk more about what coaching entails. I look forward to connecting with you soon!
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What is your full name? *
What is your email? *
What is the best phone number to reach you at? *
What is your age? *
What is your instagram handle?
What type of coaching are you interested in? *
Required
Are you interested in functional medicine testing? (Ex: dutch test, GI map, blood work, etc.) *
What are your main health goals (physical and/or mental!) ? *
What is your biggest challenge when it comes to achieving your goals and stepping into your best self? *
What qualities are most important to you when searching for a coach (accountability outside of sessions, encouragement, educational materials, tough love, etc.)? *
Are you willing to fully invest in yourself (financially, physically, mentally, emotionally)? *
NEXT STEPS: After you press submit, you will be redirected to a link to schedule your free 20-minute call with me. This is a no pressure call where we get to connect. We will discuss your history, calls, and see how I can support you in your journey :)  *
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