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Start Your Journey

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Build Strength, Relieve Pain, and Reclaim Your Active Life

Discover if Coaching with Dr. Melanie is Right for You

Thank you for considering Move Well Health for your wellness journey! To ensure that coaching with Dr. Melanie is the right fit for you, please take a moment to answer the questions below. Your responses will help me understand your needs and how I can best support your health goals. After reviewing your application, I'll follow up with a 15-minute free consult to discuss the results and determine if a custom program could be a good fit for you. I'll also provide more details about what to expect from coaching.

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Please allow about 5-10 minutes to complete this form. The more detail you provide, the better I can tailor my approach to suit your needs!

Birthday
Year
Month
Day

Please provide your full birth date, including the year, to help Dr. Melanie tailor the assessment to your specific needs.

Please select the option that best describes your current activity level:
Sedentary (little or no exercise)
Lightly active (light exercise/sports 1-3 days per week)
Moderately active (moderate exercise/sports 3-5 days per week)
Very active (hard exercise/sports 6-7 days a week)
Super active (very hard exercise, physical job, or training twice a day)
Please select your current health and fitness goals from the list below:
How did you find out about Move Well Health?
How eager are you to begin one-on-one coaching with Dr. Melanie at Move Well Health?
Let's dive in— I'm ready to start today!
I'm quite interested and eager to learn more about how it works.
I'm just starting to consider the idea of coaching.
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