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Hi! I'm so glad you’re here ❤
Before chatting, please fill out a few quick details so we can be prepared for your call.

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Please provide your contact info ^*

By submitting this, you agree to receive email / text updates and reminders. You can unsubscribe at any time.

First Name ^*

Last Name ^*

Email ^*

Phone Number ^*

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Please share your current health struggles & why you're interested in working with us. ^*

(If we've been DMing you can be brief, no need to repeat yourself ❤)
Please take a second and answer in detail: What diagnoses do you have or think you might have? What are your major symptoms? How long have you been experiencing symptoms?

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How would your life change if you significantly improved your health? ^*

Please answer from the heart: Is there anything you are not able to do today that you could if you were not dealing with symptoms?

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Where did we connect? ^*

Or where did you find MaddHealthy?

Instagram

Referred by someone

Facebook Group

Google

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Who referred you? ^*

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Have we been chatting via DMs?

Yes

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What's your IG handle? ^*

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What Facebook Group

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Have you done any functional testing previously ^*

(this does not include blood tests run through your primary care or any other conventional provider)

Yes

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Please select any tests you have done ^*

GI Map

DUTCH Hormone Test

Mycotoxin

Blood Tests

Other

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Are you ready to invest to finally achieve your health goals? ^*

Assuming the fit is absolutely perfect: do you have the budget to make a premium investment in your health or good income / credit for a payment plan?

If you commit to the plan, I guarantee results ❤

I’m in! I am ready and able to invest in my health now.

I'm unable to invest right now.

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Do you have a partner who you make financial decisions with? ^*

Yes

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Please bring your partner

Partners not being on the same page is a top reason why potential clients who are ready and excited to move forward don't. Please do not wait until after our call to discuss this.

If you need any help navigating this conversation, let me know! I'd be happy to help ❤

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Do you promise to show up and be fully present? ^*

My approach is built on a foundation of trust and connection. This call is Step 1 in building that, which is why we do it on Zoom.

Please only book if you can commit to joining from a quiet space on camera with no distractions.

We have limited availability for these each week and they book out 100% of the time. As a mom, I get that emergencies happen, and we're flexible, but we will not reschedule no-shows.

Yes - I promise to show up on time and be fully present

No - I'm not sure I'll be able to join or be fully present

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Sounds like now is not the right time..

Thank you so much for your honesty and for considering working with us. I completely understand that the investment may not be possible right just now or the timing isn't right. I'd love to support you however we can. If we've been chatting and you still have any questions, let me know!

Healing is a process, and exploring your options is already a big step forward! ❤️ In the meantime, you've been added to my newsletter and you'll be the first to learn about specials when they're available.

Whenever you’re ready to take the next step, we’ll be here to support you. I have a few low cost resources (from the program) to get you started here as well:

See Health Bundles & Meal Plans

Yay let's talk 🙌

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