Breakthrough Strategy Session

Complete and submit this form to schedule a free consultation. We will talk on the phone or skype for about 45 minutes. We will discuss your main health concerns, goals, specific ways I can help you, and anything in between. There is no pressure for either of us to work together. This is just a way to see if we will be a good fit.

First Name *

Last Name *

Phone *

Email *

Please describe your top three goals. Weight loss? Reduce stress? Disease prevention? All of the above? *

What do you think is getting in the way of those goals? *

What is your urgency for solving this on a scale of 1-10? (10 is high - YES, I'm ready to get the support I need and do what it takes, 1 is low - I've got 10 million things to do and this always falls last) *

On a scale of 1-10 (10 being yes, I'm ready), how are ready are you to invest in yourself and your health in order to move forward? *

What do you hope to gain from our session? *

Where did we meet you? *

The Legal Stuff

The government and lawyers make me do it!

Health Disclaimer *

As with every health & wellness program, please check with your medical doctor before starting. The information provided by my services is for educational purposes only. The information I provide is not intended to serve as medical advice and should not be used for the diagnosis or treatment of a health problem or disease. *

Yes, I have read the disclaimer and both understand and agree to the terms stated

Ready, let's go!

Click submit to get started! Can't wait to meet you!

Breakthrough Strategy Session

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