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Complimentary Wellness Consultation Form Template

Are you a professional looking for a comprehensive Complimentary Wellness Consultation Form Template to offer your clients? Look no further!


This Complimentary Wellness Consultation Form Template will help you provide your clients with an in-depth and comprehensive wellness consultation. By using this template, you will be able to ask your clients a range of questions about their lifestyle, diet, physical activity, sleep, and more. You can then use the information provided to make an informed assessment of your client’s health and provide advice accordingly.


The template has been carefully crafted to ensure that it includes all the necessary information you need to get to know your client and to make an accurate assessment of their health. It includes questions about physical health, mental health, and lifestyle. You can also ask your client to provide information on their diet, physical activity, sleep, and more.


This Complimentary Wellness Consultation Form Template is a great way to get to know your client and make sure that you have all the necessary information to provide them with the best advice. It will help you provide your clients with an in-depth assessment of their health and provide valuable insights that you can use when offering advice.

Complimentary Wellness Consultation Form Template

  1. What made you decide to apply for this consultation?

  2. How satisfied are you with your current day-to-day life?

  3. What areas in your life are you currently having the most difficulties?

  4. Which Pillars of Wellness are you most hoping to improve?

  5. How motivated are you to change your life?

  6. Is there anything that may be standing in the way of you making changes in your life to benefit your future?

  7. Have you ever been coached/counselled before?

  8. If yes, how was your experience? (type NA for Not Applicable)

  9. What are you hoping to gain from this session?

  10. Is there anything else I should know about you that would help me help you better?

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