Health Coaching Form

Explore Health Coaching

Congrats on choosing to explore how Health coaching may be the right fit for you.
Here are the Top 10 Reasons many other people, just like yourself, have become health coaches.
1. Personal accountability in health
2. Helping family & friends get healthy
3. Creating a life with meaning & purpose
4. Creating supplemental or replacement income
5. Early Retirement
6. Personal Growth
7. To be part of a thriving community
8. Time and resources to support favorite charities
9. Work from home/time with family
10. Travel & flexible schedule
Name*

First NameLast Name
E-mail*
example@example.com
Mobile Number*
Who sent this form to you?*
Are you currently an OPTAVIA client?*
If so, what has been your success so far?
Tell me a little about yourself (family, work, interests...)
What do you enjoy most about your current work?
If you could change anything about the work you do, what would it be?
What part of Health Coaching is most interesting to you?
What are some of your specific financial goals you would like to achieve over the next 1 to 5 years (ie. savings, debt relief, giving goals, college fund)?
Are you currently on target to accomplish those financial goals?
What is specific income (monthly) amount that you would like to earn?
What are some of your concerns about becoming a coach?
OPTAVIA coaching offers both IMPACT and INCOME. Which of these interests you most (both is great too)?
What are the names of 5 people on your heart that you would love to help with improved health and weight loss?
What are your biggest Questions About Coaching?
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Explore Health Coaching