KAIROS HABIT LAB

Discovery Form

Dear friend, I pray that you may enjoy good health and that all may go well with you, even as your soul is getting along well. [3 JOHN 1:2-3]
01
Basic Information
02
Sleep Habits
ExhaustedFully rested
03
Food & Water
04
Activity & Movement
05
Stress & Environment
No stressOverwhelming
06
Supplements & Wellness History
07
Goals & Motivation
Not readyFully committed
08
Acknowledgment — Lifestyle Assessment

Signature 1 of 2

By signing below you confirm that all information provided in Sections 1–7 is accurate and complete to the best of your knowledge. This signature covers your lifestyle assessment only. Your informed consent to the full program is captured in Section 9.

Signature — Lifestyle Assessment *
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09
Informed Consent & Program Agreement

Please read each clause carefully before ticking the checkboxes below. This is a legally binding acknowledgment.

Signature — Informed Consent *
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Ready to submit?

Make sure all required fields are filled and both signatures are complete. Your coach will receive this form and reach out within 24 hours to confirm your assessment schedule.

Form submitted successfully

Your Discovery Form has been received. Your Kairos Habit Lab coach will review it and reach out within 24 hours to confirm your assessment schedule. The next step is completing the Medical History Disclosure Form.

Complete Medical History Form →