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Road To Wellness™ Commitment Program Application
First name
*
Last name
*
Email
*
Phone
*
Multi-line address
Country/Region
Address
City
Zip / Postal code
Have you completed the Wellness Wheel Assessment™?
Yes
No
Currently Enrolled
Have you completed the Faith, Health & Freedom Challenge™?
Yes
No
Currently Enrolled
How long have you been dealing with these challenges?
Less than 6 months
6 months - 1 year
1-3 years
More than 3 years
More than 5 years
More than 10 years
What are the top three wellness goals you would like to achieve during the next 90 days?
*
What have you already tried?
*
Why is now the right time to commit to change?
*
On a scale of 1-5, 5 being fully dedicated, how committed are you to investing time, energy, and effort into your wellness journey?
*
What obstacles have prevented success in the past?
Schedule Challenge Strategy Call
June 2026
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14
Sunday, June 14, 2026
15
Monday, June 15, 2026
16
Tuesday, June 16, 2026
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Wednesday, June 17, 2026
18
Thursday, June 18, 2026
19
Friday, June 19, 2026
20
Saturday, June 20, 2026
Week starting Sunday, June 14
Time zone: Coordinated Universal Time (UTC)
Phone call
Saturday, Jun 20
10:00 AM - 11:00 AM
11:00 AM - 12:00 PM
12:00 PM - 1:00 PM
1:00 PM - 2:00 PM
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