Apply to work 1:1!
Hello friend :)

Thank you for your interest of us potentially working together! 

This application is to get a little information about you to see where you are and where you are looking to go on your health journey. Please fill out with as much detail as you feel comfortable- this form (and any of our work together) will be completely confidential. If you decide to proceed there will be a more extensive intake questionnaire where you are welcome to fill out with much more detail. This is a co-collaborative experience and I do encourage you to lean into your intuition and listen to your body.

Once received I will reach back out to you within 48 hours with the next steps!

I am excited you are here,

****none of my work is medical advise****
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Email *
Name *
First and last name
Phone number *
What is your IG handle? (so I can get to know you too!)
Current location: (and time zone) *
How did you hear about me or my work? *
What is your top 1-3 goals in regards to your health? 
What are your top 3-5 health concerns? (symptoms/areas you want to improve)
Did something trigger this change in your health? *
If you could improve these struggles, how would your life change?
What do you think is your biggest barrier currently that's stopping you from acheiving your goals? *
Have you worked with any type of nutritional practitioner before?
The support I am looking for: *
If yes, what was that experience like?
The results you desire will depend on your level of commitment to change how may be currently operating. Our journey together will include recommendations that involve preparing whole foods and eating animal based products. Are you willing to invest time, some money, and energy into implementing new lifestyle changes? *
Anything else that you are feeling called to share?
A copy of your responses will be emailed to the address you provided.
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