$199 Introductory price

Receive the benefits of the new 9Health ePrevent Diabetes program and change your health for a lifetime! For less than $20/month, you can obtain results with the help of your personal lifestyle coach.

ePrevent Sign-up

  • Contact Info
  • Payment
  • Vitals
  • Health Survey
  • Submit

Contact Information

Let's get started on the path to a healthier you with the help of your personal lifestyle coach.

Payment

For less than the cost of two pizzas, you get a health coach in the palm of your hand!

Total: $0.00

Vitals

The journey to your best self starts with a first step. You have already taken that first step. Now, let's determine the starting point for your journey. Please enter your current vital stats.

Health Survey

Your health and lifestyle coach is your personal guide on this journey. To help them customize their support, education, and guidance; please complete the following health survey. Your information is confidential. Only your lifestyle coach will use this information to help guide and motivate you to reach your goals.

Healthcare Preferences

Which of the following best describes how you make decisions about healthcare?

On a scale of 1-10 how important is change to you, 1 being not important, 10 being very important.

On a scale of 1-10 how ready are you to work towards change, 1 being not ready at all, 10 being very ready.

Characterize the severity of any general physical health problems, on a scale of 1-10, with 1 being no problems and 10 being many and or severe problems.

Characterize the severity of any general mental health problems, on a scale of 1-10, with 1 being no problems and 10 being many and or severe problems.

Characterize the severity of any issues preventing you from being active, on a scale of 1-10, with 1 being no barriers and 10 being many and or severe barriers.

Goals This Year
Long Term Goals
Wellness Strengths
Lifestyle Struggles
Past Efforts
Motivations

Create a Password

You are almost done. Just create a password and your ready to get started. For security, your password must be between 8 & 16 characters, have one capital letter, one number, and one symbol.