Onsite Coaching Please fill-out this brief questionnaire. NOTE: Any and all information submitted is and will remain confidential. First and Last Name Email address Phone Number Preferred Start Date I understand that Akin Olokun is not a medical doctor, does not diagnose, prescribe medications, prevent or treat illness, disease or any other physical or mental conditions. I understand that the information I will receive is for educational purposes only, and is not a substitute for medical care, treatments and/or diagnosis, and it is recommended that I see a qualified professional for any physical or mental condition that I may have. If I choose to follow any of the advice, I choose to follow the information received on my own behalf based on my own beliefs. I assume total responsibility and liability for my own actions. I will not hold Akin Olokun accountable or liable for any damages or health issues that may arise as a result of my use of the information.