Lets plan your Wellness plan Name* First Last 1-3rd Health Goal in order of priority.Please list your top 3 health GoalsWhat is your monthly budget to work on these three things?(Must be $50 or above if joining Essential Rewards)Anything else you would like me to know before I create your health plan.What is your first and secondary Color personality?What is your first and second Love Language?I prefer to discuss my health goals and plan via.... Phone Text Email FB Message Zoom Skype Facetime What health practices are you currently doing for these goals?Are you currently on Essential Rewards? Yes No Do you know what Essential Rewards (ER) is? Yes No Are you willing to join Essential Rewards for 3 months to focus on your health?(There is no charge of any kind to sign up for this plan or to cancel it at any time.) Yes No I am READY to take control of my health and I am ALL IN! Yes, I am ALL IN No, I am not ready. I don't know why I filled this form out. =) Δ
