Kathy's New Client Consultation

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Heyy! Please fill out this quick form and once I receive your responses I will get back to you within 24-48 hours with a fully customized routine to meets your wants, needs, and budget!

Let's go!

-Kathy

I CERTIFY THAT I AM NOT CURRENTLY AMBASSADOR OR CLIENT FOR QSCIENCES.

Please do not fill out this from if you are.

I am not currently an ambassador or client.

Required

Full Name *

Instagram *

Phone Number *

Email *

Country of Residence *

What are you interested in? What aspects of your health and wellness ?

EX: Weight-loss, stress relief, gut health, immune support, lack of quality sleep, routine supplementation, protein intake.

What do you feel comfortable spending on yourself in order to get started on this journey?

$150 - $225

$225 - $300

$300 - $375

Whatever it takes! I'm making myself a priority!

LASTLY! What are you interested in? *

Purchasing the Product

Selling the Product

Both

Submit

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