Holistic Healing

Experience Application

Hey! Rachael here 👋🏼 Welcome to my application. This helps me understand your health goals and what you need most. In my holistic health practice, I help men & women heal the root cause of chronic disease, gut issues, and fatigue with functional testing & nervous system regulation - so you can finally experience health! I've helped hundreds transform their health - now it's your turn ↓

First Name *

Last Name *

Email *

Phone *

Instagram/TikTok Handle *

Please add whichever we've already chatted on or that you're most active on.

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If you could only have ONE last meal, what would it be?

What is your #1 goal that you want to achieve in the next 6-12 months? *

What health issues or symptoms are you currently experiencing that you wish to heal?

What kind of work do you do, and how does it affect your daily energy and routine?

What do you feel is the biggest thing missing in helping you heal your body and achieve your goals? *

What things have you tried to help reach this goal? Have you worked with other practitioners before? If so, explain your experience? *

Fast forward a year from now - where do you want to see yourself? What does your health look like? Your life look like? How do you feel? *

I am dedicated as a practitioner to ensuring you see the BEST results, but understand it’s up to YOU to do the work. We only work with people who are willing to go the distance, sound like you? *

Why is now the best time to begin healing your body and working on achieving your goals?

If you knew healing your body and getting results was possible, would you be willing to invest financially in your health long-term (6+ months)?

Would anyone else be involved in making a decision to take action and invest in your health with you? *

If so, please be sure they’re present on the call too.

You'll now be redirected to book a call with me to see if we are the right fit to work together, if none of the times open work - message me @healthbyrachael or [email protected]! 🤎