1:1 Coaching with Adrienne Discovery Information
At this time, Adrienne is currently closed to new clients. Please fill out your information and if it is a good fit, she will reach out in 2024 when she is taking on new clients again. Thank you for your interest in her services.
Sign in to Google to save your progress. Learn more
Email *
First name and last name *
Phone:
In which country are you living? *
Tell me about your current mindset surrounding your health and how it's impacting your life, work and relationships. How would you describe the current state of your health? *
What are the biggest challenges you want my support to help heal? *
Where do you see your health and life in 6 months? 12 months? Please be specific on how you want to feel and what you'd like to be different in your life *
What makes you ready to work with me right now? *
What appeals to you about working with me specifically as your holistic patient advocate? *
Are you willing to invest in yourself EMOTIONALLY and FINANCIALLY to create the health changes that you desire? *
On a scale of 1-10, how committed and serious are you about investing emotionally and financially in your health in order to fully heal whatever health issue or symptoms you wish to reverse? *
On a scale of 1-10, how willing and committed are you to doing the everyday work it takes to fully heal your body (diet, mindset shift, stress reduction, sleep, movement, etc) *
How did you first hear about Adrienne / WellBe? *
How did you hear about my holistic patient advocacy services? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wellbe. Report Abuse