Online Wellness Coaching Package or Virtual Consultation Duration: 40 min Welcome to Our Client Onboarding Form First & Last Name(required) Email(required) What is your age range?(required) Select one option <18 18-25 26-36 37-40 41-51 52-60 60+ Gender(required) Select one option Female Male Have you ever had an Online Wellness Coach before?(required) Select one option Yes No Rate your current fitness level.(required) Select one option 1 2 3 4 5 What would you want our coaching to specifically help you achieve? (required) Select one option Weight loss Women's Health Herbal Wellness Increase Flexibility & Body Wellness All Of The Above How much are you willing to invest in your health and fitness every month?(required) Select one option $100-$399 $400-$799 $99 for (1) Virtual Consultation- 40 min Not Sure $800-$1200 $139 – Customized Plan + 1 Month of Email Support Only Send
