What best describes what you’re struggling with right now? *

Low energy / fatigue

Post Exertional Malaise or Fatigue

POTS or dysautonomia (heart rate issues)

Long Covid

Chronic pain / inflammation

Hormone imbalance

Gut issues / bloating

Weight loss resistance

Anxiety / stress / burnout

Skin issues

Autoimmune symptoms

Allergy, Histamine or MCAS reactions

Sleep issues

Other

How long have you been dealing with this? *

Less than 3 months

3–6 months

6–12 months

1–3 years

3+ years

How much is this affecting your daily life? *

Mild inconvenience

Moderate (affects me weekly)

Severe (affects me daily)

Extreme (I feel stuck / desperate)

Tell me more if you would like :)

Have you tried anything to fix it already? *

Yes, a lot — nothing has worked

Yes, but not consistently

A little bit

No, not really

What is your #1 goal you want to accomplish in the next 90 days? *

If we could help you solve this, what would that mean for your life? *

Have you been diagnosed with anything in the past?

How ready are you to make changes to improve your health right now? *

I’m fully ready — I need to start ASAP

I’m motivated, but I need guidance and a plan

I’m interested, but still exploring options

What type of support are you looking for? *

A clear step-by-step plan + accountability

A personalized plan with testing / deeper root-cause guidance

Just general recommendations / education

I’m not sure yet

This consultation is completely free. If we both feel you're a fit and you decide you want additional support beyond the free consultation (custom plan, testing, coaching, etc.), would you be financially prepared to make an investment to improve your health? *

Yes

Possibly, depending on the options available

No

Is there anything else you’d like to share with us before your free consultation?

The more detail you provide, the more prepared we can be to support you on the call.

Sex *

Male

Female

Prefer not to say

Age *

Height *

Weight *

First Name

Last Name

Phone *

Email *

What is your time zone? 

Choose one or more options