Elect Wellness Client Permissions
Full Name
First Name
Last Name
Would you be ok with us mentioning you and your accomplishments in writing via facebook post, website, print or e-newsletter?
Yes, within the limitations outlined in my answer to the next question.
No thanks, I'd rather not be mentioned at all, even if just in writing.
Please select the details that you would be willing for us to share, when describing your accomplishments:
First Name
Last Name
Occupation
City where you live
Specific challenge or disability (Medical conditions are private and protected, therefore we must have your special permission here if you are ok for us to share this detail to inspire or encourage others in similar situations.)
Would you be ok with us taking a few photos of you working with us, to help others understand the people we serve, and motivate them to live better too?
Yes, as long as you let me approve the taken photos before sharing.
No, I'd prefer not to ever have any photos taken of me working with you.
Would you be ok with us using 2-5 seconds of you in action on video to show others the work it takes to get stronger?
Yes, as long as you give me fair warning of when, I'd like to help inspire others through video capture.
No, I'd rather not ever be on video, even if it's just a 2 second clip of footage within your website.
After significant movement toward, or complete accomplishment of your goals, would you be interested sharing a longer personal testimony interview video regarding your journey, to inspire others?
Possibly, yes. But ask me again when you feel the time is right.
No, I'd prefer to not ever do this, no matter how successful I am.
Thank you! This is just the first step in building your Elect Wellness community. Our goal is to motivate and inspire each other to become our best, while still honoring the privacy of our clients. We appreciate you so much!
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