Let's Get America Healthy!

Hello! Thanks for scanning my QR CODE or clicking on my Health Assessment link! Please feel free to SHARE this info with those you know and love. When you submit the HA it will come straight to my inbox and I'll reach out to you for a conversation asap.

I'm Sonya Holesovsky, your Independent OPTAVIA Coach.

I love coaching. Thanks for your trust.

Just reply with the answers below to help me before we talk OK! I'm really looking forward to knowing and working with you on your journey to a better, healthier life!

Tell me who referred you so I can thank them for paying it forward!

Your Name

Your First NameYour Last Name

Your Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Cell Phone Number

Your Email - the one you want me to use! Personal is usually best!

Your Age    Type a label

Your Date of Birth   Type a label

Your Occupation   Type a label

Your Current Weight  Type a label

Your Height   Type a label

Tell me what you would like to do and WHY!!   Type a label
blank

If you like to exercise, tell me what you like to do - and if you have any food allergies tell me that too, along with anything else you want me to know right now.

Tell me what you take medications for. You don't need to list the name of each medication, just the purpose. We will go over everything when we talk. Examples: Blood Pressure, Diabetes, Cholesterol, etc.

On a scale of 1-10 (10 being greatest) how motivated are you to lose weight, get to a healthy BMI and improve your overall health and LIFE. I hope you are a 10!!

Thanks again for reaching out to me for information about this fantastic program. It's the BEST thing I ever did for myself, and it will be for you too! I love coaching and I'll guide you every step of the way. I'll get back to you ASAP!

SAVE THIS HEALTH ASSESSMENT TO THE NOTES ON YOUR PHONE AND SHARE IT WITH EVERYONE YOU KNOW AND LOVE.

HELP ME GET AMERICA HEALTHY!

I RELY ON REFERRALS SO THANK YOU!

Be sure to CLICK SUBMIT below when you are done and your Health Assessment will come straight to my inbox.

To our HEALTH,

Sonya Holesovsky

Independent OPTAVIA Coach

361.482.9444

holesovskys@yahoo.com

Let's get America Healthy!