Name

First Name

Last Name

Email

Phone

📲 Drop the best number where I can personally text you with next steps if you qualify!

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✅ What’s the biggest challenge you’re facing with nutrition & health right now?

(Example: low energy, digestion issues, cravings, weight struggles, meal planning confusion, etc.)

✅ How are these challenges impacting your daily life, work, or performance?

(Are they affecting your energy, focus, productivity, confidence, or mood?)

✅ What have you tried in the past to improve your health or eating habits?

What worked, what didn’t?

✅ Why do you feel NOW is the right time to make a change?

(What’s motivating you to take control of your health today?)

✅ How committed are you to making lasting changes that fit into your busy lifestyle?

Enter the corresponding letter: A) Just exploring options B) I’m serious, but need clear guidance C) 100% ready—I need an expert plan that works

Do you consent to being texted?

Karen will review your application and text you if your qualify for next steps.

Option Yes