APPLICATION

First Name *

Last Name *

Phone *

Email *

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How long have you been dealing with your health concern? *

Select Gender *

Female

Male

On a scale from one to ten, how committed are you to resolving your chronic pain? *

What is your primary health goal in the next six months? *

What have you tried in the past to address your chronic pain, and what were the results *

Right Now I ... *

Have the financial resources to invest in my health

Have access to financial resources to invest in my health

I don't have any financial resources at all & I'm going to keep my health exactly where it is at.

Our coaching team will call you at the time you chose. Please commit to your appointment by typing this sentence in the box below: "Yes, I promise I will join the virtual call for my breakthrough session when my coach calls" *

Finally on a scale of 1 to Bruce Lee, How awesome are you?

Thanks for Booking!!!

We will review your submission request for your free private breakthrough session. You’ll receive an email in just a few minutes confirming the appointment, so be on the look out and if you don’t see it check your spam folder. We’ll call you at the time that you chose, so be ready.

I promise, this will best 45 minutes you’ve ever spent working on your health. You have my word. If you need to reschedule, please be courteous and let us know by emailing [email protected] so we can make accommodations for a better date that may work for you and our team.

BONUS GIFT BELOW

I have a gift to get you started. You’ll see a link to join our Free Community Group Page where I share my strategies and we encourage the support of your health journey with our community of individuals celebrating our wins. And all we’re missing is you! Click link below and join:

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