Apply to work with Elly Michelle
Thank you for your interest in working with me to understand and address the root causes of your health concerns so you can embody your fullest expression of health and radiance! Please complete this form to give me a sense of your context and goals. If I feel that you might be a good fit to work with me, I'll personally email you to invite you to schedule a time for us to speak by phone. While you will absolutely get value out of this complimentary call, please understand that there are NO QUICK FIXES when it comes to health. Optimizing health is a process that takes TIME, dedication and commitment to the long game. The best results take a minimum of 6-12 months. Once you complete this form, if I think you are a good candidate to work with me, you will receive an email within 24-48 hours to schedule a phone call. Please understand that this call is NOT an official consultation and this call does NOT commit you to working with me. It is an opportunity to have a conversation about where your health is currently, how you want to see your health improve, what your best next steps might be and how I can support you in moving toward your vision for your health, body and life. On this call we will explore whether working together feels aligned for us. I look forward to supporting you in feeling clear and confident about the right next steps for your health and wellbeing!
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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In what city/state do you live (or country if outside the US)?
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Age
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How did you find Elly?
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What are you struggling with the most when it comes to your health?
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How are these health challenges impacting your life?
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What have you tried to address your health concerns? Did it work?
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Have you ever worked with a Naturopathic Doctor? If so, what was your experience?
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Have you ever done it any lab testing (blood or functional/specialty testing like stool, hormone, food sensitivity)?
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If you no longer were struggling with these health challenges, how would your life be different? How would YOU feel different?
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List the top 3 ways you would like to see your health improve over the next 12 months:
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Why is it important to you to truly figure out what is going on in your body rather than finding a "quick fix" or seeking ways to mask your symptoms?
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On a scale of 1-10, how committed are you to investing TIME, MONEY AND ENERGY into getting support and strategy to improve your health and wellbeing? (1 = not committed at all, 10 = I'll do whatever it takes!)
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How much are you able and willing to invest in your health right now?
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$1,000-2,000
$2,000-$4,000
$4,000-$6,000
Whatever it takes to heal!
I don't have the ability to invest right now
If offered, I realize I will be booking a REAL TIME 1:1 call with Dr. Elly Michelle. I promise to honor and respect her time by showing up for the time that she reserves for me. If something comes up and I can no longer make the scheduled time, I will notify her at least 24 hours in advance.
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Yes, I'll be there!
I understand that I cannot use insurance to cover the cost of services with Dr. Elly. I am able and willing to invest in my health out of pocket.
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Yes, I understand that to work with Dr. Elly I will be paying out of pocket.
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