ACTIVATE Strategic Wellness Investing Application

Thank you for your interest in ACTIVATE

I only work with a handful of executives and leaders in ACTIVATE each year and don't extend an invitation to everyone who applies.

This application will help me determine if I can help you begin your journey toward becoming a savvy wellness investor by transforming your WELL-LEADER MINDSET™ to achieve the long-term wellness you desire and if you might be a good fit for the 12-Week ACTIVATE experience.

As such, please be thoughtful and honest when answering these questions.

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* 1. Please enter your personal information below.

Name *

Time Zone

Country *

Email Address *

Phone Number *

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* 2. Briefly describe the current status of your health and wellness.

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* 3. How long have you been struggling with your health and wellness?

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* 4. What do you believe is holding you back from achieving the health and wellness you desire?

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* 5. What results do you believe you can achieve related to your health and wellness?

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* 6. ACTIVATE Wellness Advising is for ambitious, future-focused executives and leaders who are willing to step back, reflect, and think strategically about investing in their health and wellness. You must commit to making your wellness a priority, be coachable, and do the work to create an authentic Lifestyle Wellness Strategic Plan. Why do you believe you are a good fit for ACTIVATE?

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* 7. ACTIVATE Confirmation: Should you be chosen for ACTIVATE:

I am ready and can commit to 3 payments of $2,300

I am ready and would prefer the $6,000 pay in full option

I am not yet ready to make my wellness a priority.