I'm thrilled you're interested in getting a handle on your child's health! Tell me a little more of your story before we talk.
Name (of parent)
*
First Name
Last Name
Best Email to contact you at
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
If someone referred you to me, please tell me who I can thank (even if you found me on someone else's blog or Facebook page, please indicate that here. I'd like to thank them)
What is your child's name?
How old is your child?
What are the main health concern(s) you have for your child right now?
*
What, if anything, have you already invested in to help your child (investment of time/effort/money into therapies, diets, supplements, medications...)?
*
What specifically has motivated you to reach out at this particular time to get help with your family's health? (did something specific happen? Are you worried something will happen? Have you just had enough? Are you seeing things get worse?). In other words, why now?
*
What initial questions or hesitations do you have about working with Jess, changing your child's diet or joining our program?
*
Who other than you is involved in decisions about which financial investments you are able to make for your family?
*
Thank You For Sharing Your Story! Now Click "submit"
You'll be directed to my on-line calendar. Pick a time that works for you so we can talk through your next steps
Submit
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