Let’s get started on your health today!

Fill out the form below so that I can get to know you! This information will help me better prepare for our health strategy session and discover the best way of taking charge of your health today!

On our 15 minute health strategy session, we will discuss your concerning symptoms and what you have been experiencing to build the foundation for our case review!

After you hit submit, there will be a link taking you to my personalized calendar so we can set up our health strategy session today!

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Full Name

Phone Number

Do you live in the United States? I apologize, but I am currently not accepting international clients at this time.

Yes

Age

Occupation

Where did you hear about us?

What are your top 3 health goals? Be specific.

What has been your biggest struggle in meeting the above goals?

In your journey so far, have you tried anything to fix your symptoms/imbalances?

In the next 6 months, what changes would you like to make? Please be specific.

What have you struggled with most/what has gotten in the way of achieving these goals?

If you could take away 3 symptoms or complications in your life, what would they be?

So far in your journey, what have you tried to fix these symptoms/complications?

The investment to work together in a high-level 1:1 relationship is a minimum of 4 figures and a 1- 2 hours of work per week for lifestyle changes. Are you able and willing to make both the time and monetary investment in yourself?

YES, absolutely!

Not sure yet...

Definitely not.

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Let’s get started on your health today!

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