FREE Holistic Wellness Reading

FREE Holistic Wellness Reading

Includes:
Name

First Name Last Name
Preferred Pronouns
Phone Number
Please enter a valid phone number.
Email
example@example.com
Preferred method of contact

Phone Call Text Email
How did you hear about Meraki Wellness, llc?

Facebook Instagram Thumbtack Google Search Referral Other
On a scale of 1-5, how serious are you about your wellness goals?

1

2

3

4

5

1 is Meh, it's free, so I'm checking it out, 5 is SUPER serious. I need support and tools STAT!
What areas of your wellness do you want to focus on?

Physical Emotional Spiritual All 3!
Do you have a specific goal in mind?

Yes No
If yes, what goal do you have?
Why is now the perfect time to work on your goals?
What would be your DREAM results of achieving that goal?
How much time are you willing to dedicate to your wellness?

5-30 minutes 30 - 60 minutes 60 + minutes 60 minutes a month Other
What do you see as a challenge to reaching your goals?
What do you see as an asset to reaching your goals?
Is there a budget I should be aware of when helping you create a plan?
What else do you feel is important for me to know when creating your plan?
Thank you!

Once your form is received, you'll be contacted via your preferred method of contact to book your free wellness reading! Looking forward to working with you!
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