Interested in our platform?
We want to curate the perfect care team for your health journey!
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Back
Next
What is your age?
*
What is your gender?
*
Please Select
Male
Female
Non - Binary
Prefer Not to Say
What is your occupation?
*
Please Select
Student
Professional
Homemaker
Retired
Other
Back
Next
What are your primary health concerns?
*
Stress
Gut or Digestive Issues
Women's health
Chronic pain
Depression
Weight management
Anxiety
Heart conditions
Chronic fatigue
Other
Back
Next
How do you currently manage your health and well-being? (Select all that apply)
*
Exercise
Medicine
Herbal supplements
Acupuncture
Chiropractor
Massage Therapy
Counseling
Lifestyle changes
Other
Back
Next
Have you tried holistic health care for your health before?
*
Yes
No
Are you open to holistic therapies?
*
Yes
No
Back
Next
Which of these practitioners would you like to see on your care team? (Select all that apply)
*
Naturopath or Naturopathic Doctor
Habit Coach
Nutritionist/Dietician
Mind Body Coach
Nurse
Life Coach
Back
Next
How often would you prefer to meet with your practitioners?
*
Please Select
Few times a week
Once a week
Bi-weekly
As needed
What communication channels would you find most convenient?
*
Video calls
Messaging
Email
Phone calls
Submit
Thank you so much for taking the time to answer our questions!
Your input is instrumental in shaping our services to better serve you. Our platform is in the works, but you are now on our waitlist to be amongst the first to know and have the opportunity to be an initial user!
In the meantime, feel free to check out our website!
https://wellpreneursolutions.com/
Should be Empty: