Your Individual Health Interests and Concerns

Your Health, Wellness and Fitness.
This page is about getting to know you, your individual health, wellness and fitness, focusing on your individual health interests and your individual health concerns.

 

What is your primary health interest/concern?

Name
Email
Phone
 

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Which of the following are of interest to you? (Please check all that apply.)

 

Basic Health Services

Health Coaching Services







Health Testing/Planning Services







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Intermediate Instructional and Athletic Services

Mind/Body Instructional Services







Athletic Coaching Services








Athletic Testing/Planning Services








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Focuses

Specialties







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I WANT TO…

(Shifting My Health)









(Shifting My Fitness)









(Shifting My Mind)










Other comments?




 

Who will you be when you unlock your potential?

CONTACT US

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