Apply for The Vitality Accelerator Course
Full Name*
Email*
What is your primary wellness goal that you could use the most support with? Stress relief, Weight Loss, Healthier Eating Habits, Sleep Habits, Exercise, Other (please specify) *
Location *
Age*
What does your ideal health and life look like?*
Is there anything getting in your way of you achieving this ideal? (please specify) *
What are your current health struggles?*
On a scale of 1-5, how ready are you to make a significant financial investment in your body, mind & overall health? (1 being not ready at all and a 5 being very ready)
What's your preferred method of communication? Email, Facebook Group, Instagram, Phone, Text (please include number)
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