FREE Health and Wellness Boost Audit

In order to better serve you during your FREE Health and Wellness Boost Session, we would like to get a better understanding of your current situation. All information will remain CONFIDENTIAL. This information allows us to have a very productive meeting and properly create a customized solution for you.

Please take a 2 minutes to fill out this audit by answering all the questions below. Thank you in advance for your cooperation.





1. What conditions are you currently suffering from (Choose all that apply to your current situation)
Back pain and/or joint painSkin ailmentsBrain fogDepressionObesityChronic fatigue SyndromeOther:

6. How serious and motivated are you to start making a change?
Right now! I’m readyIt bothers me but not looking for a solution in the next 30 daysI'm still gathering information on what product or service might work and not looking to make any changes until 90 days or less