POTS Strong™ Coaching Intake

POTS Strong™ Coaching Intake

Name(Required)

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Email(Required)

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Age(Required)

Having been diagnosed with Postural Orthostatic Tachycardia Syndrome, has your doctor prescribed exercise, nutrition and/or mindfulness as tools to manage symptoms? Summarize treatment & other forms of therapies.(Required)

What is your #1 motive to be POTS Strong™? Think of the reason you want this change. There may be many reasons; pick the TOP one.

Once POTS Strong™, what do you see yourself doing? What goals will you set out to achieve?

How did you hear about POTS Strong™?(Required)

When are you looking to start services?(Required)

I authorize Coach Kait to text me direct and start my POTS Strong intake.(Required)

Yes, please!

I am…(Required)

…ready to chat now! I’ll book my Take Action call myself. I see the option to book beneath this form. I am looking forward to it!

…fine with waiting to receive my promised text and will look for the link there.

POTS Strong™ Coaching Intake

About Kait Olds

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