Intake Form - Better Metabolic Health

Apply to work with us:

To start, please fill out this short questionnaire. Your answers will help us understand your goals, challenges, and past experiences so that we can create the best plan for your health journey.

Name

Phone Number

1. What are the top three health results you would like to achieve within the next month, three months, and beyond?

2. How would your life change if you were to achieve these results?

3. How do you feel a health coach can help you reach your goals? What support or guidance would be most valuable to you?

4. List three things you’ve tried in the past that have positively impacted your health.

5. List three things you’ve tried that did not work for you.

6. Have there been any barriers that have made it difficult for you to improve your health? If so, what are they?