Body Temple Illumination Session
Welcome! I'm so excited you're here.

Please complete this form as honestly as possible; your responses are 100% confidential. You will be notified via email within 24 hours to set up a call with me.

There are 3 main objectives of this call:

1. To shine the light for you to know and really understand what's not working in your health and in your life and how all of these things are connected.

2. To give you access to the ways you can heal and shift the blocks that are keeping you stuck.

3. To provide the opportunity for you to learn more on how you can continue to receive the support and accountability you need to make lasting change.

About the call itself:

Upon acceptance of your form, I will email you a link to book a call directly on my calendar. I have limited availability for these calls and I honor your time; please give me at least 24hrs in the event you have an emergency and need to reschedule.

During the call, please be in a quiet place where you are comfortable, uninterrupted and able to speak freely. Typically, the call will last about 45 minutes, plan accordingly.

Don't forget to check your inbox (or spam/junk folder or Promotions tab if you use gmail) for next steps.

Massive Love,

Email address *
My work is a unique intersection, where SCIENCE (functional medicine, nutrition, environmental toxins, etc.) and SPIRIT (intuitive guidance and ritual) come together. Are you open to this approach? *
What's your name? *
Your answer
What's your email address? *
Your answer
What is your cell number? *
Your answer
What is your biggest health challenge right now? *
Your answer
How is this challenge impacting other areas of your life (e.g. confidence, dating, physical mobility, career advancement, self-esteem, etc.)? *
Your answer
When did this challenge begin? What else was going on in other areas of your life at the time (e.g. career, family, relationship, finances, etc.)? *
Your answer
What have you tried to solve the problem? List therapies, modalities, supplements, etc. *
Your answer
How important is it for you to address and solve this, on a scale of 1-10? *
Not that important
How committed are you to FULLY healing this for good? *
Not committed at all
I'm ready to address this NOW!
What, if any, are your Spirituality/Faith practices? *
Your answer
Is there anything else you want me to know?
Your answer
If we are a match to work together, are you willing and able to make this possible for yourself? *
Is there anyone else you have to consult (partener, spouse, etc.) before making the decision to invest in yourself? *
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