This short questionnaire helps our team understand your goals,

symptoms, and health history so we can strategize

the best way to support you.

Please answer each question to the best of your ability

to qualify for the next step.

⏱ Takes about 5 minutes

What's your first and last name? *

At KYLO: Keep Your Life Optimal, we've helped over 425 women reduce autoimmune flare ups, balance their hormones, and restore their gut health to finally lose weight by addressing the root cause using in-house lab testing alongside our Functional Reset Method.

This is a 1:1 program where you work closely with a functional health practitioner. Does having that level of support sound like what you're looking for? *

Yes - This is exactly what I've been needing

Maybe - I'd need to know more to be certain

No - This isn't what I'm looking for right now

Describe your current occupation and how long have you been doing it? *

Work environments have a huge impact on stress, and therefore weight loss. This helps us understand what kind of obstacles we’ll be up against

Right now, I'd describe myself as... *

I'm really struggling. I feel inflamed, exhausted, and really uncomfortable in my body. My bloating, fatigue, and mood changes are really affecting my day-to-day. I know something is off in my body somewhere and I’m ready for clarity and a full reset.

I'm starting to not feel like myself. I’ve gained weight and can't keep it off like I used to, and I'm starting to suspect my autoimmunity, hormones and/or gut health are off but I don't know what to do about it.

I'm doing okay with my health & fitness, but I’m not making as much, or any, progress as I would like to. I know I could lose some weight and feel better day-to-day if I learned how to specifically work with my autoimmunity, my hormone & gut health sustainably.

I’m in decent shape, but I want to optimize my health and learn from experts to reach my next level. I want to make sure my hormones, gut health, and autoimmunity are under control for the long run.

When was the last time you truly felt great in your body: confident, energized, and in control of your health? *

12 months from now, I want to... *

Feel confident and strong in my body. Like I’m in the best shape of my life and can wear a swimsuit without picking myself apart.

Have my hormones fully in balance. Zero PMS, bloating, cramping, mood changes, or hormonal weight gain.

Experience optimized gut health. No more GI issues like stomach pain, bloating, gas, irregular bowel movements, or food sensitivities.

Completely control my autoimmunity. Reduce flare ups. No more fatigue. Hair growing back and weight loss I can see and feel.

Feel better mentally. Less stress, more clarity, healthy relationship with food, and living with freedom from anxiety or burnout.

Honestly? All of the above.

We do not require anyone to work with us for 12 months. This helps us understand your long-term needs.

On a scale of 1–5, how ready are you to make personalized changes to your health right now? *

1 – I could put this off for a while

2 – Curious, but not quite ready

3 – I want to make a change soon

4 – I’m ready and just need the right support

5 – I’m all in, I need this now

If our lab-informed approach feels like the right fit for you, how would the decision to move forward happen? *

I make my own health decisions.

My partner trusts me to make decisions like this.

I'd want to discuss it with my partner first.

My partner would need to be part of the decision.

If you determine the Functional Reset Method is the right fit for you to improve your health, are you in a position to invest time, energy & finances toward improving your health? *

Yes. I'm ready to invest and solve my recurring health problems.

I'm open to it, but may need some support or options.

Now isn't a good time, my cash flow is month to month and I have no access to credit.

Note: our programs are individualized so we can't say exactly how much of an investment it will be until we talk and see what YOU need. Full functional lab testing alone starts at around $500, and we currently do not offer lab testing alone without also investing into The Functional Reset Method.

What is your email address? *

This is only for appointment reminders and a free resource after your Functional Lab Consult

What is your phone number? *

[It's important this is correct so that we can confirm your application and help you with rescheduling if needed. We will not spam you after your consult.]

Click "SUBMIT" below to submit your application.

You will be redirected to our calendar to reserve your Functional Lab Consult with one of our

Functional Health Specialists at your convenience.

Thank you!