Let’s work together"Your ailments are common but not normal"Let me explain...apply to work with me Name * First Name Last Name Email * Preferred Phone * (###) ### #### What is your main health complaint? * Age * What (or who) would prevent you from completing a health-rebuilding program? * Family Time Self Finances Fear Career Nothing What is your current diet like? * If we were to work together what would you expect to achieve from working with me? * What are 5 things you LOVE about your life? * Who were you referred by? * Thank you!
