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Name

Email Address

What service are you interested in?

What are 3 to 4 health goals you want to focus on?

Please provide a brief description of your health history and what you're struggling with:

What have you already tried to help your health? What has worked and what hasn't?

On a scale of 1-10, with 1 being "Not at all - I don't want to make changes" and 10 being "Absolutely committed - I'll do anything," how willing are you to make changes to reach your health goals?

Any additional questions, comments, or information you'd like to share?

How did you hear about Jaimee Kimmel Wellness?

Do you want my free eGuide on reducing fatigue, brain fog, insomnia & pain? Do you want my free eGuide on reducing fatigue, brain fog, insomnia & pain? YES! Please email me the eGuide so I can get started now!

Contact

Cave Creek, AZ

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@JaimeeKimmel

Request your 20-Minute Introductory Call

We’ll review what you’re struggling with, where you want to go, and your full Nutritional Assessment report on which potential health foundations may be holding you back from your health goals.

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“Time and health are two precious assets that we don’t recognize and appreciate until they have been depleted.” – Denis Waitley

“Looking after my health today gives me a better hope for tomorrow.” – Anne Wilson Schaef

“Do what you can, with what you have, where you are.” – Theodore Roosevelt