Pay it Forward and Become an Independent OPTAVIA Coach
We are seeking self-motivated individuals with a heart to help people. As you success on your own health journey, your transformation will be an inspiration to others. As a an OPTAVIA Health Coach, you'll have the opportunity to impact lives while building a business that transforms your own. Please watch the following video then fill out the questions below.
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Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What interests you most about becoming a Health Coach?
*
Helping Others
Job Flexibility
Income Potential
Accountability in my own health
None of the Abvoe
Other
What platforms of social media are you active on?
*
Facebook
Instagram
Twitter
LinkedIn
Pinterest
None
Other
Name 5 people, that come to mind, that you would like to see get healthy:Â
*
What is your current job status?:
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Work Full TIme
Work Part Time
Self Employed
Unemployed
Retired
Student
Other
What is your profession, if employed?
Have you ever owned your own business?
*
Yes
No
How many hours a week are you available and willing to commit to growing your own business?
*
How coachable are you?Â
*
Not at all
1
2
3
4
Extremely
5
1 is Not at all, 5 is Extremely
Do you enjoy team work?
*
No, Im a loner!
1
2
3
4
Yay, Teamwork!
5
1 is No, Im a loner!, 5 is Yay, Teamwork!
Financially speaking, I am...
*
Very Comfortable
Have enough for my needs
Feeling Strapped
Concerned about making ends meet
Prefer not to answer
If time and money were no object what would you be doing? Dream a little...
*
What is the best day of the week to contact you to go over your results (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What is the best time of the day to contact you?
*
Morning
Afternoon
Evening
What time zone are you in?
*
Pacific
Mountain
Central
Eastern
Submit
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