Powerful Decision Call

I want to help you live your Life by Design Not Default™!

Please fill out the questionnaire below to help us dive deep on our call.

First Name *

Last Name *

Best Contact Number *

Email *

What is your diagnosis? *

What are the top 3 challenges you would like help with? What keeps you up at night? *

1
2
3

What have you done in the past to address these challenges? *

What has worked? Did you see the results? How long did it take? *

What has NOT worked? If you did not see results, why do you think that is? *

Why do you think your mind, body, and spirit need to heal (trust your intuition here)? *

How much money, time, and energy have you invested in your health in the past? *

What do you think is holding you back from achieving the health you want? *

Why is it so important to you to take action now? *

If you were to work with me, what results would be a success for you?

Are you ready to leave your comfort zone, implement new perspectives and new behaviors, and be open to questioning your current beliefs and having difficult conversations to achieve health goals that seem impossible for you?

Yes

Have you ever worked with a coach or consultant before? *

Yes

Are you open to and willing to explore your food nutrition, movement, and quiet time in your daily life? *

Yes

Who decides what money to invest in healthcare when it comes to your health and wellness? *

Someone else

Me & someone else

I have the funds available to invest into a high level intensive personalized health program and I am the decision maker in my health. I acknowledge that investing in myself by paying someone who can help me shorten the learning curve and get lasting results in a healthy and sustainable way is worth more. *

Yes

If we are a great fit to work together and I extend an invitation to you, are you ready and willing to invest today to lead the life you were born to live? *

Yes, I am ready and I have $3, 000 to invest in myself right now.

Yes, I am ready and have access to make a commitment of $3,000 (at minimum) since the programs range from $3,000 to $10,000 to enroll.

Do I have your permission to send you email communications regarding this appointment and other upcoming events, services, and inspiration from Zoraida? *

Yes

Why are you the right client for Zoraida? Share deeply here. Let me FEEL your energy *

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