• Jake Robinson's Wellness Survey

  • We will cc the email address you've provided so you will receive a copy of the email sent to Jake.

  • Personal Information

  • CONGRATULATIONS for being at a Healthy Weight. Our program can help you with weight loss (if needed), long-term weight control, and new healthy habits to help you reach your Optimal Health and stay there!

  • Overweight - You're at increased risk of developing cardiovascular disease, heart disease, diabetes, and MORE without intervention. Our program can be lifesaving in helping you with weight loss, weight control, and new healthy habits to help you reach your Optimal Health for the long term.

  • Obese - You're at high risk of developing cardiovascular disease, heart disease, diabetes, and MORE without intervention. Our program can be lifesaving in helping you with weight loss, weight control, and new healthy habits to help you reach your Optimal Health for the long term.

  • You're at the highest risk of developing cardiovascular disease, heart disease, diabetes, and MORE without intervention. Our program can be lifesaving in helping you with weight loss, weight control, and new healthy habits to help you reach your Optimal Health for the long term.

  • Healthy Sleep

  • Healthy Motion

  • Healthy Mind

  • Food and Hydration Habits

  • Healthy Finances

  • Thank you for sharing your health goals with me. Once you hit submit, you will be directed to the online scheduling calendar of your friend/coach so you can book a time slot about next steps

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