Let’s work together

Interested in working together? Fill out some info and I will be in touch shortly! I can't wait to hear from you!

Name

First Name

Last Name

Location

What are your 3 top health challenges?

How often do your top 3 health challenges bother you?

How long has this been going on for?

How would your life be different if your health challenges were resolved in the next year?

What approaches have you tried already that worked for you?

Please list.

What approaches have you tried already that did NOT work for you?

Please list.

What changes do you know you could/ should make that you haven't already made already?

What would prevent you from completing a Functional Nutritional Therapy Program?

Check all that apply

Self

Time

Money

Other

On a scale of 1 to 10, how committed are you to making the changes you need to make to achieve your goals?

10 = extremely committed

What is the one change/ new behaviour you commit to making this week that will move you in the direction of your health goal?

If we work together, what would you expect to achieve from working with me?

Are you interested in functional lab testing?

Note: Costs are additional to consulting fees

What is your ideal start time?

Note: I am currently booking ~2-3 weeks ahead

How did you hear of Food Spirit Wellness?

Is there anything else you would like to share with me? Do you have any questions right now?