Zholistic Health Session

Pre-Assessment

Before your upcoming Zholistic Health Session, please complete this brief pre-assessment. Your responses help us understand your current health, lifestyle habits, and goals so we can make the most of your session time.

This form allows us to tailor your experience, address your specific concerns, and prepare personalized recommendations that support your total mind, body, and spirit renewal.

Section 1: Personal Info

Section 2: Primary Health Concern

Section 3: Lifestyle Snapshot

Section 4: Health Background

Section 5: Goals for This Session

By submitting this form, I acknowledge and agree to the following:

1. The information I am providing is accurate and complete to the best of my knowledge.

2. I understand that my Zholistic Health Session is intended for educational and wellness purposes only and does not serve as a medical diagnosis or treatment.

3. I understand that Zholistic Life and its representatives are not medical doctors, and any recommendations provided are intended to support overall health and well-being through natural and holistic practices.

4. I take full responsibility for communicating any changes in my health status, medications, or supplements prior to or during my session.

5. I understand that any suggestions made during the session, including nutritional, lifestyle, or supplement recommendations, are to be implemented at my own discretion.

6. I release Zholistic Life and its affiliates from any liability arising from my voluntary participation in this wellness session and the application of the information provided.

7. I consent to the collection and secure storage of the information submitted for the purpose of creating a personalized experience and follow-up recommendations.

By signing below, I confirm that I have read, understood, and agree to the terms above.

Thank you for taking the time to complete your Zholistic Health Session Pre-Assessment.Your honesty and openness help us prepare a session that truly reflects your goals and supports your journey toward wholeness; mind, body, and spirit.

We look forward to walking alongside you as you take this next step toward renewal and alignment.