Form

Apply to Work with Me 1:1

The Mandala Wellness Herbal Coaching process is a great fit for individuals who are ready to create meaningful, lasting change — in their health, habits, and relationship with their body.

If you’re feeling stuck, overwhelmed, or unsure where to start, this work helps you reconnect with your body’s natural rhythms and build a foundation for genuine healing. Together, we’ll explore the patterns behind your symptoms, create practical workarounds, and craft a personalized herbal and lifestyle plan that actually fits your life.

This application is not a commitment — it simply helps me understand your goals and determine whether this approach is the right fit for you. It takes just 5–8 minutes to complete, and if it feels aligned, I’ll reach out personally with next steps and booking information.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

How did you hear about us?*

Do you have any major medical diagnoses (such as cancer or other active conditions requiring medical treatment)? If yes, please note that my services are educational and supportive, not a replacement for medical care.)*

YesNo

Are you currently pregnent?

YesNo

Are you currently breastfeefding?

YesNo

Tell me a little bit about what’s going on for you right now.What are your biggest challenges or symptoms? What inspired you to fill out this form and seek support?**

What do you hope to achieve through herbal coaching? Dream big — what changes or outcomes are you most hoping for?*

If you achieved these goals, how would it change your life or daily experience?*

Have you worked with an herbalist, nutritionist, or other holistic practitioner before?*

YesNo

Have you done any labs, testing, or worked with doctors on this issue before?*

What have you tried so far? Why do you think it hasn’t gotten you where you want to be?**

My current test offerings are:Starter Package — $250 (Intake, plan, and one follow-up12-Week Coaching Package — $500 (or $170/month for 3 months)Are you ready to invest in your health through one of these programs?**

Yes! I’m ready and able to start.I’m interested but have a few questions before committing.Not yet, but I’d like to stay in touch for future openings.

Which best describes you?*

I’m ready to schedule my Intake & Assessment now!I’m very interested — but would love to chat with Kristen first.

Anything else you’d like me to know before we connect?

By submitting this form, you acknowledge that Mandala Wellness provides educational and coaching-based herbal support and does not diagnose, treat, or replace medical care.