Apply to work with Pura Vida Wellness

Application

Name *

First

Last

Email *

Your best email so we can send you the zoom link

Phone *

Your cell in case we don't receive email confirmation

Age *

Which service are you interested in? *

Personal Training
Online Health Coaching
Breathwork
Not Sure

How did you hear about us? *

What is your main health and fitness goal that you hope to accomplish by working with us? *

What has been your main obstacle in reaching your health and fitness goals? *

What have you tried in the past to overcome these obstacles? *

Why is NOW a good time for you to take action and improve your health? *

Have you worked with a coach before? *

Limitations – Do you have any current/past medical conditions or injuries that could impact your ability to perform certain movements or exercises? Please explain further. *

If experiencing pain, at what level on a scale of 1-10?

Selected Value: 0

There are limited spaces available for working 1-on-1 with a coach. For what reasons do you feel you would be a good fit to work with a Pura Vida Coach?

Working with a coach is an investment in your health. Are you willing to invest in your health? *

I’m still deciding
I am willing to invest for the right price.
Whatever it takes, I am all in!

Anything else we should know?