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Wellness Mastery Challenge Application

Are you committed to getting into the best health of your life in the next 6 months?

Answer the following questions truthfully. 

If selected, you will have the opportunity to beta test an interactive wellness program designed to give you more energy, clarity, and focus while eliminating sources of inflammation that commonly lead to pain and burnout.

Once your application is approved, you will be notified by email to schedule an interview with one of our staff members.

If you have questions, please email [email protected] or call 509-888-2235.

Click the button below to start.

Start

Question 1 of 14

Personal Information

We will never sell or provide your personal information to third parties

Please provide the following:

First Name

 

Question 2 of 14

Last Name

 

Question 3 of 14

EMAIL

 

Question 4 of 14

PHONE

 

Question 5 of 14

CITY

Question 6 of 14

STATE

Question 7 of 14

What is your why?

What motivated you to apply for this program?

 

Question 8 of 14

 

How will your life be improved if you could eliminate pain while increasing energy & focus?

 

Question 9 of 14

What have you tried in the past to help improve your health & wellness?

Question 10 of 14

Have you participated in a group program before and/or health coaching?

If so please answer the following:

 

What worked for you?

What did not work for you?

What would you do differently this time?

Question 11 of 14

 

Are you willing and able to make small lifestyle changes that will dramatically improve your health and wellness?

 

A

Yes

B

No

C

I'm not sure

D

Maybe

E

Heck Yes!

Question 12 of 14

 

What is your health and  wellness worth?

 

A

<$500 per month

B

$500-$1,000 per month

C

$1,000+ per month

D

I'm priceless!

Question 13 of 14

How did you hear about us?

Question 14 of 14

Is there anything else you would like us to know?

Confirm and Submit