First Name *

Last Name *

Email *

Phone *

Occupation *

What modality are you interested in? *

Structural Integration

Holistic Health Coaching

Corrective Exercise

Whichever is going to help me

What's your current situation and/or health concerns? *

What have you tried in the past to alleviate your concerns? *

Why is working with Wandering Bear Wellness the right approach for you? *

If needed, what is your willingness to radically change your diet? *

If I could help change the concerns/obstacles you have, how committed are you? *

What is the biggest obstacle or frustration you're encountering? *

What questions/reservations do you still have? *

I understand that renewed health and vitality comes with time and may push me out of my comfort zone. *

Working with me will cost in the low 4 digits for a minimum of 3 months. Is that within your means? *

Yes

Yes but with payment plan

No, But I really want to work with you

No

Does anyone else need to be on the call to help with the decision? *

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