Wellness Strategy Session - Application

To better serve you, please complete this application in as much detail as you feel comfortable with. Your answers are completely confidential and will not be shared; only I, Leah Finlay, will view or have access to your answers.

* 1. Contact Information

* 2. Your SKYPE Username (optional)

* 3. What resonated with you most and had you apply for a session?

* 4. When it comes to your Digestive Health, what are your biggest challenges?

* 5. On a scale of 1-10, how important is it for you to get these issues resolved, and why?

* 6. What is your health goal for the next 3-6 months?

* 7. Are you ready to move outside your comfort zone for the sake of your health and well-being? If so, why now?

* 8. Please select which best describes you right now...

* 9. If someone advised me to spend $250 on nutritional support supplements, I would: