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How can we help?

Use this form for communicating what services you are looking for so that we can help you find the best option for you.

If you already know exactly what service you want and do not plan to use insurance, please go to Package Sign-up. Thank you!

Name *

Email *

Phone *

This will be used for texting some information and, in some cases, for account log in

What is your primary reason for contacting OneStep? *

What are your secondary goals? (Select at least one) *

I am looking for help with working out and/or improving my nutrition
I want tools that will help me reach my goals or change daily habits
I want to feel less stressed and/or happier
I want to learn how to teach my child the tools they need to be happy, healthy and successful
I don't have any secondary goals
I believe I have (or have been diagnosed with) ADHD and want help with this
I want assistance with building stronger relationships (can include couple's counseling)
I am seeking EMDR or other trauma treatment assistance

I am planning to pay for services through: *

I plan to: *

Many wellness services are not covered by insurance. To find out if you can use insurance to help offset the cost, please select which of the following situations apply to you: *

I live in: *

Insurance types- Ohio w/ Sammi *

^If you respond other, you will be asked questions to determine your budget in case your insurance cannot be accepted and given a link to schedule a consultation to start. Further investigation into your insurance can be done then.

Insurance types- Ohio w/out Sammi *

Insurance types- DC *

Please select the option that best applies *

There is ZERO judgement or discrimination. We pride ourselves in having options for individuals with all types of situations.

What is your budget? *

There is ZERO judgement or discrimination. We pride ourselves in having options for individuals with all types of situations.

What is your budget for the portion of services not covered by insurance? *

There is ZERO judgement or discrimination. We pride ourselves in having options for individuals with all types of situations.

Even if I can't use my insurance, I'm still interested in getting help to be healthier: *

We never discriminate or judge anyone's particular budget. We just want a better idea of what your needs are.

Please choose the option that best applies *

We never discriminate or judge based on your answers. We do our best to accommodate each person's budget as best as possible.

Please complete all of the above fields before moving on

You are almost done! Thank you for taking the time to complete this form.

What is the primary method of service you are interested in? *

I want to meet regularly for personal training
I want coaching to help with weight loss or nutrition goals
I want a manageable workout routine: no direct training needed

Personal Training/Nutrition Coaching *

I'm ready to get stronger
I want to lose weight
I'm ready to change my eating habits
I am interested in being more flexible and/or reducing pain
I want self-defense training

What is your budget for personal training/nutrition coaching services? *

There is ZERO judgement or discrimination. We pride ourselves in having options for individuals with all types of situations.

I am willing to track my food intake for three days as a part of a nutrition assessment: *

Yes
No, thanks, I'll hold off on a nutrition plan for now

Goals/Making Changes *

I set goals, but frequently struggle to reach them
I am looking to be more organized, focused, etc.
I need help keeping myself motivated
I want to work with a coach to further explore my goals
I want a daily routine that helps me feel good
I want to learn how to make new habits that stick

Relationships *

We are seeking couple's counseling because we are struggling
We are seeking couple's counseling to strengthen our relationship
I want help individually to be a better partner
I become anxious about social situations
I need help setting/maintaining healthy boundaries
I want to have healthier relationships

Stress Reduction/Anxiety/Resilience *

I often feel stress
I'm tired of feeling blah
I notice my mood worsens around the same time each year
I usually feel good, but when triggered, I struggle
I want to explore further what makes me happy
I am frequently anxious
I am willing to work on my diet/exercise to improve my mood

Trauma Care *

I am a first responder or veteran
I specifically am seeking EMDR treatment
I have had an experience where I felt I was at risk of severe injury/death
I have experienced sexual assault
I have witnessed violence that has caused PTSD symptoms
I have experienced other trauma

For your trauma treatment: *

There is ZERO judgement or discrimination. We pride ourselves in having options for individuals with all types of situations.

How old is your child?

Tell us a little more about what you are seeking help with: *

Please expect a response within 1-2 weeks. The delay is due to the time it takes to process requests while also taking care of current clients to the best of our ability, which is a benefit you will also enjoy if you become a client of OneStep.

Use this link to schedule an initial consultation

This is the fastest way to get on the schedule. Alternatively, you can wait to hear back from us.

I'd like to receive your newsletter: *

Yes, please
No, thanks
Mostly just physical wellness information, thanks

Name

Service Feedback form for current clients

Personal Information

Full Name *

What services are you receiving? *

Survey Information

Provide feedback on as many of these improvement areas as are applicable to you

Improvement areas *

How satisfied you are with progress so far *

How much you want to focus on this moving forward *

Choose at least one area of feedback

Feedback Area *

Rating of Satisfaction *

More details on improvements you would like to see (N/A if satisfied with no further comments) *

Open-Ended Feedback

Testimonial (optional)

If you would like to leave a testimonial that OneStep can use (no names included for privacy) on the website, write that review here. Testimonials help small businesses thrive. You should not feel obligated in any way.

Overall Experience/ Suggestions for Improvement *

Write N/A if you wrote a testimonial and have nothing to add. Thank you for taking the time to fill this out!

Want to Get started?

For more information on types of services, see the information pages. Or click Contact to start the process of setting up services.

Nutrition/ WEight Loss

For more information on types of services, visit our information pages through our main menu. Or select Contact to start the process of setting up services.

Coaching Courses

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