Are you committed to getting into the best health of your life in the next 3 months?Answer the following questions truthfully.
If selected, you will have the opportunity to be a part of our group wellness program.
Once your application is approved, you will be notified by email to schedule an interview.
If you have questions, please email [email protected] or call 509-888-2235.
Click the button below to 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?
Yes
No
I'm not sure
Maybe
Heck Yes!
Question 12 of 14
What is your health and wellness worth?
<$500 per month
$500-$1,000 per month
$1,000+ per month
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?