I am SO honored to see you here, and I commend you for taking the first step in improving your health!

PLEASE READ THIS FIRST

This form is for a 30 minute consultation call with me to assess how to help you live your best life!

Your call will range from 10-30 minutes depending on how the conversation flows. 

The main purpose of the call is to figure out if or how I can support you based on your needs. 

There are 3 brief phases to the call. After each phase, we’ll decide whether to continue on to the next. At the end of the last phase is when I'll extend an offer to join the Sustainable Health program, if we both feel it's a good fit for you!

Please fill out the form below as best as you can. The more details you give me, the better I can guide you.

Once you submit your application, you will be taken to a page where there will be a link to schedule your call.

I look forward to learning more about your health goals!

Blessings & Joy,

Robin

*All information provided will be strictly confidential
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First Name *
Last Name *
Email *
Phone Number *
Age *
How did you hear about The Sustainable Health program? *
What led you to apply today? *
What are your top three health goals? *
What would need to happen over the next 3-6 months to make you feel that you were making progress toward your goals? *
What's been your biggest challenge in reaching these goals on your own? *
On a scale of 1-5, how ready are you to change your health and life? *
I could care less
I am 110% ready!
Are you willing to invest time, energy, and financial resources into making your goals a reality and creating a sustainable healthy lifestyle that lasts? *
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