Work With Me Form

I work with clients to address a range of different health challenges, but are not limited to:
- Hormonal issues (acne, irregular cycles, painful periods, heavy periods, PMS, PMDD.)
- Emotional blockages (mindset, addressing trauma, limiting beliefs, rewiring thoughts, nervous system regulation, stress, relationships.)
- Gut health (bloating, IBS, leaky gut, pain, constipation, SIBO, low stomach acid etc.)
- Circadian Health (using nature's wisdom to heal you.)
- Mental Health (anxiety, low mood, depression, ADHD etc.)

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What is your email? *
What is your first name? *
What is your last name? *
What is your mobile number? *
What are your main challenges that have brought you here? *
What is your main goal/outcome you're wanting to achieve? *
What are you looking for in a health coach? *
How committed are you to achieving this outcome/goal? *
Not at all
Fully ready to comit
Are you willing to invest a minimum of $30 per day into coaching? *
How did you hear about me? And how long have you been following my content if so? *
Any additional comments or questions?
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