Gut Brain Blueprint Client Application

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I am so excited to see you taking the first steps to healing your gut and becoming the most vibrant version of yourself! I cannot wait to support you in this journey!

Please answer all the questions below to be considered for the next round of Gut Brain Blueprint. There are no "right" answers, this is just a place for me to get to know you a bit better and make sure that we would be a good fit to work together.

Gut Brain Blueprint is a 6 month, 1:1 coaching experience. We will have bi-weekly calls throughout the course of your gut healing protocol (including 1 that will be a deep dive initial consultation where we can really dive into your health history as well as 1 that will be a stool test analysis call). GOOD NEWS! For this round only (FEBRUARY 2024), you will also get 6, 1 hr breathwork sessions to be used during our time together.

This program combines nutrition and functional testing with breathwork and mindfulness to heal your gut, your nervous system and the connection between them. There is 24/7 voice message/message support throughout the program as well as an individualized nutrition and supplement protocol + other resources provided as needed throughout the program.

Space for this January round is limited to 6 people and I do anticipate selling out before doors close. Thank you for taking the time to share your story with me!

Please note that if your application is accepted, you will have 1 week to secure your spot via a $600 deposit or paid in full option. If longer term payment plans are needed - please reach out to me at abby@blisspointnutrition.com.

further questions?: abby@blisspointnutrition.com

want to hop on a call? If you want to hop on a call instead, click here to book!

In depth program description can be found here!

*Please note that the questionnaire required before booking a call is similar. If you plan to book a call, you can go ahead and skip this application and go straight to booking your call:)

Hey! What's your name + IG handle? :)

What is your email address?

Please tell me about yourself - who are you? What do you do? What do you enjoy/dislike? What brings you to wanting to be the next best version of yourself? Be as detailed as possible :)

What is your biggest health concern at this time? Do you have any medical diagnoses?

What are your top 3 goals for your health right now?

Why did you decide that now was the time to start working on your health? and how long have you been on a health journey?

How long have you had gut related symptoms? What are the main symptoms that you struggle with?

Have you worked with another nutritionist or functional medicine practitioner in the past? What was your experience like?

Have you done breathwork or any other type of somatic (body based) healing in the past?

Yes, I have tried breathwork in the past

Yes, I have done other somatic practices in the past

No, I have never tried any breathwork or somatic practices but I am open to it!

No, I have never tried any breathwork or somatic practices and I am not open to it.

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What has been the biggest barrier to healing your gut ?

On a scale of 1-5, how much of a priority is your health (at this time)?

1 - it is very low on my list of priorities

5 - It is my top priority

The investment for Gut Brain Blueprint is $3627 (6 mo. time frame). What is your honest reaction to the investment?

I have the money and am ready to pay in full!

I have the money but would love to hear about payment plan options.

I don't have the money but I am willing to do whatever it takes to make it work!

I am not ready to invest at this time. (understanding that if you select this option you will not be accepted into the program)

Clear selection

Anything else that you want me to know?

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