HI! I am Coach Kelly Bishop, Founder and Chief Positivity Officer of Wellevate Experiences. You are about to take a survey in preparation for my signature service, Get Up & Move! I am thrilled you are ready to join me as your coach in a 4 week wellness journey. This experience will also connect you other FICP attendees prior to being in Boston this November.  I do ask your input if there is a meeting planner you would like to get to know through this experience.  I will make every attempt to place you on an accountability team together.  Your answers below will help me provide coaching, motivation and accountability to you along the way.  This experience has been created special for FICP. I can't wait to take you on this journey. I Pick Positive, do you?
 

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* 1. In the last week, have you made time for your self health through fitness?

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* 2. Do you show up for your company but no-show on yourself when it comes to your health & wellness?

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* 3. Which of the following do you consider yourself to be or will be through this group?

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* 4. Have you ever had a wellness coach before?

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* 5. Are you willing to commit 20 minutes per day to yourself and be a positive accountability partner to others?

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* 6. What do you believe is holding you back from being your favorite or best self on a daily basis?

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* 7. What is your goal to gain from this Get Up & Move experience with Coach Kelly?

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* 8. Please share two meeting planners you would like to get to know. Every attempt will be made to honor your request of at least one. (Please provide their first & last name or the company if you are unsure of planner names)

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* 9. What song makes you dance in your kitchen? (this will be used for a motivational playlist)

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* 10. Please share your contact details to receive your Get Up & Move accountability group assignment email and be added to the Wellevate Experiences upcoming newsletter.

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* 11. Do you give permission to Kelly Bishop or Pick Positive LLC to share your contact details within your Get Up & Move accountability group?

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* 12. Liability Waiver & Release
In consideration of being allowed to register for, and participate in the Get Up & Move by Wellevate Experiences, part of Pick Positive LLC.  You hereby warrant and represent that you are age 21 or above and freely waive, release from liability, assume all risk, and covenant not to sue Pick Positive LLC. or its owner for any expense, loss, damage, personal injury, including loss of life, illness, disability, property damage or property theft or any actions of any kind that you may hereafter suffer or sustain before, during or after the event, unless said expense, loss, damage, personal injury including loss of life, illness, disability, property damage or property theft or actions of any kind is caused by the sole gross negligence of Pick Positive LLC.  This Liability Waiver & Release is specifically binding upon your heirs and assigns and is knowingly given.  If you agree, please type your full name in the space below. 

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