How much weight would you like to lose? *

Full Name

Email *

Phone *

What health challenges are currently affecting your weight?

Why do you feel Alicia’s approach is the right fit for you right now? *

If we were to offer you a solution to your problem how soon would you be able to start? *

Why is now the moment you’re ready to make a real, lasting change in your health—and not keep waiting *

Which of the following best describes your current employment status? *

What is your career?

Our method offers a premium, deeply supported, fully customized approach (Backed by a guarantee). How are you currently prepared to invest in support for your health? *

We are not able to accept insurance for naturopathic services. However, we can provide receipts for submission to a Health Spending Account, Flexible Spending Account, or for holistic nutrition coverage if applicable.
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