Application | 5 Elements Wellness

How old you are?

What country/time zone are you in?

Why are you reaching out to a health coach?

What specific health and life changes would you like to make?

How would your life be different if you were to make these changes?

Have you tried to make these changes before? if so, describe how that went.

Are you ready to invest time, money, participation and energy to get results you want?

What goals would you like to achieve in 3 months? in 6 months?

Anything else you think I should know?

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