Welcome :)

Welcome :)

Thank you for your interest in Down to Earth health coaching services. I am excited to learn more about you and support you on your wellness journey. Please take a few moments to fill out this form so I can better understand your needs and goals.
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
What motivates you to seek health coaching at this time?
How do you currently feel on the daily? Tell the good, the bad, all of it :)
What are your top three fitness/wellness/life goals you are hoping to achieve in this process?
Describe a typical day in your life. Including morning and evening routine.
How would you describe your relationship with food?
How would you rate your stress levels on a scale of 1-10?
Is there a specific area of your life you feel could benefit most from health coaching?
Is there anything else you would like me to know about you?
Thank You!

Thank you for taking the time to share more about yourself. Your openness and honesty are greatly appreciated and will help me prepare for our first session. I look forward to partnering with you on this journey toward achieving your wellness goals.

Warm regards,
Taelyr
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