Contact Me

Name

Email Address

What service are you interested in? What service are you interested in?Free 30-Minute Introduction CallFunctional Blood Chemistry ReviewInitial Consultation Review + 1 Month Protocol3 Month Coaching Program6 Month Cooaching ProgramI'm not sure! I'd like some guidance

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:

How would your life be different if your health challenges resolved in the next year?

What have you already tried to help your health that did NOT work?

What changes do you know that you could/should make that you haven't already?

What are the biggest barriers to making the changes you know you should be making?

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 or feel are relevant?

How did you hear about Jaimee Kimmel Wellness?

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