PRIVATE CONSULTATION APPLICATION

A Few Details Before We Meet.

Your responses help me understand where you are now, what you're looking to change and how to make our 20-minute conversation useful from the start.

Full Name *

Email *

Do you know your blood type? *

Yes

No

Select your Blood Type Here:

A

O

B

AB

Age

Current career or primary role

What would meaningful progress in your health and wellness look like over the next 90 days?

What has made it most difficult to create or maintain the results you want?

Which level of support are you currently most interested in exploring?

Independent

Coaching

I’m not sure yet

Which investment range best reflects what you are prepared to consider for your personalized wellness experience?

$1,500–$3,500

$3,500–$7,500

$7,500+

Not ready to invest

I understand this is an exclusive, personalized wellness process and not everyone who applies will be approved.

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