Discovery Session Application Form For VHS

Application For Discovery Session
The one-on-one discovery session is laser-focused and designed to cut through the chase to help you gain clarity on the crucial long-term priorities for your longevity and health goals.

Who Is It For
This is for you if you are interested in long-term health and longevity.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
II. Questionnaire:

Pls fill out as much you can...
Describe the main health challenges you experience currently.

0/300
What are the three biggest obstacles stopping you from getting your health under control?

0/300
What's the greatest outcome you'd like to see as a result from the discovery session?

0/300
Disclaimer

You agree that Bojan Zimmermann is not responsible for any success or failure that you may experience due to any information presented during this discovery session. This discovery session also doesn't serve as a replacement for your ongoing professional health care.

This discovery session is not for everyone, and therefore not all applications will be considered.
Read and Understand the Disclaimer.*

Yes, I have
Should be Empty:

Application For Discovery Session