Readiness Assessment

Readiness Assessment

In order to schedule your FREE consultation, we ask that you complete a few questions before your call.
Full Name*

First NameLast Name
Best Email Address*
example@example.com
Mobile Phone Number

Area CodePhone Number
Do you live in the state of Tennessee or Kentucky?*

YesNo
Who can we thank for referring your to our practice?*
If you have a referral code, please enter it below:
What is the primary health concern you would like us to help you overcome?*
How has your life been impacted by this concern?*
What has prevented you from finding healing to this point?*
What are the characteristics you value most in a healthcare partner?*

A PartnerA Quick FixerA TeacherA DetectiveA FriendA Pusher
Are you willing to do what is necessary to reclaim your health and invest the time and effort required to heal?*
If we can find a natural solution to address your health issues, are you capable of investing a minimum of $495 to get started? *
Fantastic! We're excited to speak with you further to see if we're a good fit for what you're looking for! Please submit the form and then schedule a Discovery Call with our Practitioner, Jennifer.
That's okay! We still may have some options available for you! We'd love to speak with you more to see if we're a good fit! Please submit the form and then schedule a Discovery Call with our Practitioner, Jennifer.
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