Request for Private Wellness Consultation
Your Full Name
Your Phone Number
Your Text Number
Do you prefer a phone call or text?
I would like more help with:
Cleaning Up my Diet
Emotional Balance Protocols
Spiritual Healing Sessions
I understand Kayla is not a licensed therapist or medical doctor and I will not receive any medical advice of any kind. I take full responsibility for my health and the wellness of my family.
Yes, I agree
No, I do not agree.
Do you currently use nutritional supplements and/or essential oils?
Young Living Essential Oils
doTERRA Essential Oils
Other Essential Oil Company
I just buy supplements from the health food store.
I currently purchase supplements at Walmart, Amazon, Costco or similar place.
I do not have any place to purchase quality nutritional products.
I agree that by submitting this form I am asking for Kayla to contact me by text or email to set up a private wellness consultation. Consultations include personalized programs based on your own unique feedback. We will spend a few minutes chatting via text to determine which type of consultation will be best for you.
Yes, I agree, I'm serious about my health!
No, I'm not serious, I'm just curious.
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