Call Us: 780-705-5775 4pointshealthandwellness@gmail.com

THE KARMA HEALTH & FITNESS PROGRAM

Application Form

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Karma Health & Fitness Program Application Form:

Would you like to be added to our email list? (~1x/month)

What are your health and fitness goals? (Select all that apply)

What is your monthly budget?

Are there any services that you are NOT willing to try? (Select all that apply)

What are your biggest stressors? (Select all that apply)

If you were to win $500 towards services, we would ask that you share your journey with us on social media and our website as a “4 Points Health Champion”. Champions are people who share their journey through photos, blog posts, interviews and video with the 4 Points Health social media and website to help others on their health and fitness journeys. They are willing to provide content when asked and align with the 4 Points Health and Wellness brand. Would you be willing to be a 4 Points Health Champion?

Have you ever posted on the Story feature of your Facebook and/or Instagram?

Are you comfortable with making live videos?

Please list all the social media accounts you currently use and post content to at least 1/month

Would you best describe yourself as…

4 + 12 =

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