Application to Work with Me
Please fill out the form below to apply for a position or collaboration opportunity.
Full Name
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First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
What's currently going on in your body that has you seeking help right now? (You can name top 5 symptoms)
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Which best describes your current level of commitment to solving this?
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I’m all in. I’ve tried everything, I’m tired of guessing, and I’m ready to follow a proven process.
I’m interested, but am not sure I want to change certain things in my life.
I’m just exploring what’s out there right now.
How would you describe your personality when it comes to following guidance and doing the work?
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I’m a self-starter. Once I have the roadmap, I take action.
I follow instructions well but sometimes need reminders.
I tend to struggle with consistency and motivation.
If we determine this is a good fit, are you prepared to invest in an all-inclusive, high-level functional health program with expert support, personalized lab testing, and custom protocols?
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Under $3,000
$3,000 to $4,000
$5,000 to $6,000
I am unable to invest anything at this time in my health
Tell me a little about your personality.
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Ex: How do you typically handle challenges or stress? Do you prefer structure or flexibility? What kind of support helps you thrive? How do you feel about being coached and following a process?
Submit Application
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