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Holistic Health & Vitality Assessment

Application for a Complimentary Consultation
Welcome to our joint health assessment! Behind this form, you’ll find both of us – Mira & Mikael.
We are Mira Vihervaara (former Registered Nurse & current Bio-Holistic Life Coach) and Mikael Pihlajamaa (former Massage Therapist & current Strength & Mobility Coach).

This free consultation is your first step towards deeper vitality and balance. Based on your answers, we will look together at which of our services serves you best right now:

• Premier Summer Program (A comprehensive duo-coaching experience, where you get both of us supporting you across the core pillars of your wellbeing)

• Test-Based & Personalized Nutrition (A personal analysis and tailored wellness solutions, from lab test results all the way to your cellular health)

You don’t need to have it all figured out yet. Just fill out the form below, and we will help you choose the best path forward!

Name

Email

Phone number or IG username

How did you find your way to this form?

How did you find your way to this form?
A
B

What is your biggest challenge in your well-being right now?

What is your most important goal right now? (You can select multiple)

What is your most important goal right now? (You can select multiple)

On a scale of 1–10 (with 10 being the highest level of motivation possible), how important is it to you to resolve these challenges?

On a scale of 1–10 (with 10 being the highest level of motivation possible), how important is it to you to resolve these challenges?
Not important / Low motivationExtremely important / Highest motivation

Are you ready to commit and invest in yourself?

Are you ready to commit and invest in yourself?
A
B

What interests you the most right now?

What interests you the most right now?
A
B
C