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You can email me at
[email protected]
, message me on Instagram @GutHormoneCoach, or fill out the form below!
Name
Email
Phone Number
Age
What is the main area of your health that you’re hoping to improve or get support with?
a. Hormones (e.g. PCOS, endometriosis, PMS/PMDD)
b. Thyroid Health
c. Menstrual Irregularities
d. Weight Loss
e. Fertility/Preconception
f. Pregnancy
g. Postpartum Recovery
h. Gut Health
i. Fatigue or Burnout
j. Perimenopause/Menopause
k. Anxiety/Depression
l. General Wellness
What brings you to this call? This call is a chance for us to learn more about you and your goals, and to ensure we’re the right fit for your care. Please briefly share what you’d like to support with -whether it’s hormones, thyroid health, fertility, perimenopause or something else.
How committed are you to making lifestyle changes to reach your health goals?
a. Fully committed, willing to do whatever it takes
b. Somewhat committed, but need support
c. Looking for guidance, but not sure if I can fully commit yet.
Have you worked with a health coach before?
a. Yes
b. No
So far in your journey, what have you tried to fix these symptoms/complications?
If we could wave a magic wand and help you feel your absolute best this year-physically, mentally, and emotionally- what would that look like for you?
How do you prefer to be supported in your care?
a. In-depth visits with personalized guidance
b. A structure program with accountability
c. Regular communication between appointments
d. Lab testing and evidence-based supplements
e. Nutrition, lifestyle and educational resource
Do you know we operate as a concierge practice (no insurance billing, high-touch care model)?
a. Yes
b. No, I'd like to learn more
When it comes to making your health a priority, what level of investment feels aligned for you?
a. $550
b. $2,000-4,000
c. $4,000-6,000
Is there anyone else (spouse, partner, or parent) involved in your decision-making process? If so, will they be attending the call?
a. Yes
b. No
How soon are you looking to start working with us?
a. Immediately
b. Within the next month
c. Within the next three months
d. I’m just exploring options for now
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