Pay What You Can Program — SIMPLY AYURVEDA

Pay-What-You-Can Program

Simply Ayurveda is pleased to offer a pay-what-you-can program for health coaching.

Please note this offering is available for monthly health coaching which includes 4 total sessions that occur weekly throughout the month. This offering is currently unavailable for single appointments.

Kindly fill out the form below and our team will be in touch to discuss coaching options based on your individual needs.

Kindly allow 1-2 weeks for processing and consideration. All submissions are considered on a first come—first serve basis, or based on the severity of the health condition.

Name

First Name

Last Name

Email Address

Confirm Email Address

Please briefly explain your current health status:

Why are you interested in Ayurvedic Coaching?

What is your goal with seeking Ayurvedic coaching?

Are there any significant medical expenses or other financial obligations impacting your ability to afford coaching services?

Pay What You Can Amount (For 1-month of Coaching)

Other amount:

I acknowledge:

The information provided will be kept confidential within Simply Ayurveda and used solely for the purpose of eligibility for the pay-what-you-can program option.