• GutStrong Application

    GutStrong is for women 50-yrs and over who are ready to make real change — not chase quick fixes

  • These questions help me assess whether you’re a good fit right now and whether I can confidently support you to get results.

    The application process starts with this form, which will take you approx. 30-minutes to fill in. After you submit your form, you'll get an email with the next steps.

    We believe this respectful, transparent approach protects your time, energy, and investment.

  • Date of Birth - You must be 50-yrs and over to apply*
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  • Health, Medications, Supplements, Procedures

    This provides us with a brief understanding of the health issues you are facing
  • List ALL your CURRENT your health issues, conditions, disorders etc. (even little niggles) you are CURRENTLY experiencing AND what year it started*
  • Using ONE line per each... List ALL your CURRENT prescribed medications (including contraceptives, weight loss injections etc). If NONE, please type in NONE*
  • Using ONE line per each... List ANY over-the-counter drugs (e.g. Nurofen, Panadol Antacids, Anti-histamines etc.) you are CURRENTLY taking (even if sporadic). If NONE, please type in NONE*
  • Using ONE line per each... List ANY prescribed drug (e.g. medicinal cannabis) or recreational drug (incl. cigarettes/vaping and alcohol) and how frequently you have. If NONE, please type in NONE*
  • Using ONE line per Supplement i.e. pills, powders, tonics etc. List ALL supplements that you CURRENTLY take (even if sporadic) and how often. If NONE, please type in NONE*
  • List any facial or body procedures you have undertaken, NOW or in the PAST (i.e. Botox, fillers, gastric sleeve, lap band, liposuction etc.) If none, type in NONE*

  • Measurements

  • Commitment & readiness

  • Blue-Sky Thinking

  • If you had NONE of your current health issues, niggles or challenges...what would your 'blue-sky" future look like...

    What would you be able to do, enjoy, or experience?
    How would you feel in your body each day?
    How would you look?
    What would life look like in the next 30+ years?

  • Disclosure and Agreement

  • I certify that I have disclosed all health issues, conditions, disorders and even little niggles. I have answered truthfully and have not omitted any information.*

  • By typing my name BELOW I acknowledge I have read, understood and agree to the Terms and Conditions and I am signing this form under the Electronic Transactions Act 1999 Section 10 - Signatures

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