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VIP Concierge Program Application
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Please tell us your name
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Date of Birth
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What state and country do you currently live in?
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Have you worked with a Nutritionist in the past? If so, what was your experience like?
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What are your top 3-5 health concerns and goals?
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Have you had any recent labs done in the last three months? If so, please list what testing below.
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What do you feel most sets you back from achieving your health goals?
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Please describe a typical day of eating (include all meals, snacks and beverages).
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What interests you most about The CLW VIP Concierge Program?
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If we were to work together for 12 months, what would success with this program look like for you?
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On a scale of 1-10, how committed are you to making nutritional and or lifestyle changes?
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The CLW VIP Concierge Program
Includes one full year of concierge level support:
14 one on one video sessions with Courtney, six functional lab tests throughout the year to track your progress ($4,000 + value), nutrition coaching, subconscious reprogramming, personalized care plans and supplement protocols based on your lab test results, peptide coaching when/if needed, customized recipes and meal plans. BONUSES: 1 functional lab test plus one hour follow up and care plan for any one member of your immediate family ($1300 value), 1 year free of the CLW Membership ($495 value), Weekend Retreat in Naples, FL ($2,000 value).
Pay in full $18K (save $2K).
Payment Plan Option: $5K deposit and then $1250/month for twelve consecutive months.
I am in, not sure what payment option yet.
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