Discovery Call

Full Name

Phone Number

May I add you to my email subscription to send you information regarding our Clarity Call, healthy tips, recipes, & meal ideas? You may unsubscribe at ANY time.

YesNo

How old are you? *

Do you currently have a medical condition diagnosis from a doctor?

YesNo

What does ideal success look like to you if we work together on your health goals?

Please tell me any fears you have if you do not improve your health?

What statement best describes you?

I am WILLING and ABLE to invest time and resources to improving my health and making a lasting change in my lifeI am curious about improving my health but not sure if now is the right time or notI don't want to make any major lifestyle or dietary changesI understand this call is not intended to provide medical advice, but to determine whether we should move forward in working together. Please initial to verify you understand.

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