Application For Week Long Intensive.

I take on 1-2 clients every two months, I look for clients who are 100% in and ready to fully commit to making lasting changes. This application will be thoroughly read and we will get back to you with the status after one business week.

Name

First Name

Last Name

What are the areas in your life you are most satisfied with? Which one's do you feel need the most work?

What is your ultimate dream for your life?

Is your family supportive of you making changes in you life?

Tell me about your current daily workout/movement routine

Tell me about your current diet (be honest, no judgment, I am here to help)

Do you struggle with an eating disorder?

yes

I require a written note from your doctor to work with me. This will need to notarized. Do you agree to this?

I require that you sign a contract that states I am not responsible for your health and wellness and you enter into working with me knowing this. Will this work for you?

This program requires an investment of $10,000.

If you would like to bring another person, the cost is $16,000.

Any last things you would like me to know?