Welcome to Haelan Empowered
A journey toward improved digestion and greater well-being
Name
Email
Phone Number
Age
Occupation
What is your Instagram handle?
What are your top 3-5 main areas of concern related to your gut health?
Have you made any attempts to improve these areas of concern? If so, please list what you have tried.
Why do you feel any previous attempts to improve your symptoms have been unsuccessful?
What are your top 3-5 goals you would like to achieve over the next 6 months?
I want to ensure I provide you with the support you need. What is the most important thing to you when considering working with someone in the gut health space?
Support & accountability
Knowledge/Education
Personal Experience
Financial Investment Amount
Are you willing to invest in coaching if it is a good fit for the both of us?
Yes, I have the finances on hand to invest
I may or may not have the finances on hand, but I have access to a line of credit and other resources if needed
I do not have any means to invest in myself at this time
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