First Name
Last Name
Phone Number
Email
Birth Date (ex. 10/18/1990)
Where do you live? (State/Country)
Occupation
How did you hear about us?
If you could erase 3 problems related to your health, what would they be? What are your top 3 goals? Be specific.
What do you feel that is missing that could help you achieve these goals?
Are there any experiences you find yourself missing out on due to your present health situation?
What is a goal / event / activity you are looking forward to participating in once your health is in alignment?
We view labs as essential in truly helping us get to the root of how to optimize your body so you can feel your best. Are you wanting to have comprehensive functional lab testing completed for an in depth evaluation? Definitely
Maybe
Absolutely Not
Due to the detail involved in our programs which includes functional lab testing, high-level support, and exclusive resources, this is a minimum 4-figure investment (we do not accept insurance, Medicare or Medicaid). Are you mentally and financially able to commit at this time, should it be a good fit? Yes, I am ready and able to invest in my health transformation.
No, I am unable or unwilling to invest in my health at this time.
This is so exciting! You and your health are extremely important to me and I take these calls seriously. Please make sure to be in a distraction-free space during our call. If you do not show up for your appointment, you will not be allowed to schedule another call. I'll be there, can't wait!
I'll try to make it.
Anything else you would like to mention?
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