Health Assessment

If you knew failure wasn't an option, where would you like to be in 3 months? Think physically, mentally, emotionally, life goals, etc. * *

Are you willing to invest in a fitness & nutrition program so I can coach you towards achieving your goals? * *

What are your health & fitness struggles currently? (I want to know about your digestive health, energy level, weight loss/gain goals, hormonal imbalance, pain, inflammation, etc.) *

Please rate your energy levels: (1 - you can't get out of bed. 10 - thriving energy all day.) *

Please rate your level of confidence and ability to be successful: (1 - I don't believe I'll ever be successful. 10 - I know I'll be successful, I have zero doubt.) *

CommentWhat are your biggest barriers to reaching your goals, why have you not been successful in the past? *

Give me a glimpse into your nutrition in a day! What do you eat, when and how much. Are you a stress eater? Chronic dieter? Do you feel guilty when you splurge? How is your self control? *

Which nutrition approach do you feel like you'd benefit from more?Choose One *

A program with more structure. You'd be told exactly how many portions of each food group to eat every day based on your goals and starting point. A program with more flexibility. With this approach, you could make it work even while traveling or eating at restaurants focusing on balance. I honestly don't know.

Would you be interested in doing a 3-Day Cleanse to jump start your metabolism and help banish belly bloat? *

Yes No Maybe

Are you interested in a plant based pre-workout/energy booster? *

Yes - Lemon Yes - Fruit Punch No Maybe

Are you interested in a post workout recovery formula designed to help with results? *

Yes No Maybe

Are you interested in joining our team of health coaches and building a business of your own? *This can be as part-time or full-time as you'd like. We have everything set up for you to help you be successful! Our team is one of the top and highest ranked in the company! We know how to make anyone successful whose WILLING to learn! Choose One *

Yes No Maybe

Fill out my health assessment below, so together we can get you started on a health & fitness journey that's right for YOU!