60 Minute Introduction Session - Vital Ability, LLC

Book your Introduction Consultation with Caren Robinson now.

Duration: 1 hour
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Personal Information:


Date of Birth (must be 18+):  {"type":"text","name":"__generic","width":12,"value":"","size":"Normal","validation":"TN","validationMessage":"Please fill in this item.","placeholder":"Month"}

 - {"type":"text","name":"__generic2","width":12,"value":"","size":"Normal","validation":"TN","validationMessage":"Please fill in this item.","placeholder":"Day"}

 - {"type":"text","name":"__generic3","width":12,"value":"","size":"Normal","validation":"TN","validationMessage":"Please fill in this item.","placeholder":"Year"}


How did you hear about us? {"type":"text","name":"__generic9","width":30,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}


I am requesting services as an Choose OneIndividualGroupCorporation/EmployerOrganization, Club, Lodge, Camp, etc.School/University/Trade SchoolCharity or Non-Profit Organization{"type":"select","name":"__generic10","width":45,"value":"","size":"Normal","validation":"N1","validationMessage":"Please make a selection for this item.","options":"Choose One\nIndividual\nGroup\nCorporation/Employer\nOrganization, Club, Lodge, Camp, etc.\nSchool/University/Trade School\nCharity or Non-Profit Organization"}


If "Individual" not seeking services, add name or organization: {"type":"text","name":"__generic11","width":50,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":"Name of Organization"}



What services are you seeking with Vital Ability, LLC? {"type":"checkbox","name":"__generic12","width":45,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Coaching Services\nMedical Advocacy Consultant Services\nProfessional Speaker\nBrain Injury Recovery Support Program"}


Employment Information


What Is Your Employment/Career Status?
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Occupation (if employed)
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What else would you like me to know?{"type":"textarea","name":"__generic17","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}



60 Minute Consultation 

1st 30 minutes $50
2nd 30 Minutes is a complimentary addition

Thank you for getting an appointment set up and on the books and beginning the process of investing in yourself.  

I look forward to meeting you and getting started.  Please come with any questions you may have.  

Thank you.
Caren Robinson
616-730-1204

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