Custom Balance Assessment | Lotus Theory LLC

top of page

LT_Logo

Retreat
Services
About
- Our Therapists
- Our Formula
Events
- Lotus Theory Retreat
- Sound Healing Session
Shop
Blog
More

Use tab to navigate through the menu items.

Custom Balance Assessment

Thank you for your interest in the Lotus Theory Custom Balance Program. This program is meant to be an introduction to holistic healthy living and is meant to jumpstart an entirely new lifestyle for you to enjoy for years to come.

These questions assess whether the Custom Balance program is right for you.

Please take a few minutes to complete the questions below.

First Name

Last Name

How long have you been working with your Lotus Theory clinician?

You aren’t eligible for the Custom Balance program at this time - Find out why

Have you ever struggled with low self-esteem?

Yes

No

You aren’t eligible for the Custom Balance program at this time - Find out why

Do you want to eat healthier, but don’t know where or how to start?

Yes

No

You aren’t eligible for the Custom Balance program at this time - Find out why

Do you want to start working out, but don’t know where or how to start?

Yes

No

You aren’t eligible for the Custom Balance program at this time - Find out why

In a few words, how are you hoping to FEEL after completing the Custom Balance program?

Your Lotus Theory Clinician Name

HIPAA-Seal

Psychology Today

© 2023 Lotus Theory LLC

bottom of page