Radiant Mumma Application
We can't wait to hear from you! Please answer the below questions in as much detail as possible so that we can see if you're a good fit for RADIANT MUMMA.

We will then let you know if we feel like you are a good fit and that we can help you.

Make sure to add hello@drcarlaatkinson.com to your email addresses so you don't miss our response.

If you've somehow landed here and you would just like to know more about the RADIANT MUMMA program including the investment, please visit this link - https://drcarlaatkinson.com/radiant-mumma/ 
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Email *
Name *
Phone number *
How did you hear about me? *
Now please describe in your own words, what is your biggest health struggle at present, and how do you feel on a day-to-day basis? *
e.g. is it lack of energy to play with the kids, not being able to focus well in your business, feelings of being spread too thin doing too many things, feeling exhausted and no energy to do anything or go anywhere etc
What do you want? Describe in detail how you want to feel on a day-to-day basis, and what you want to be able to do that you struggle with now. *
e.g. you want more energy to be more creative in your business or with playtime with your children, you want to feel more in control of your time and less pulled in all directions putting yourself last, you would like to do that hobby you did pre kids, you would like to have a better libido and more connection with your partner, you want to feel better in your body with the changes since children etc
What is your #1 obstacle/challenge/frustration that keeps coming up, stopping you feeling the way you want to feel? *
e.g. you can't find the time to prep healthy meals, you don't know where to start because there is so much info and you are overwhelmed, you lack support at home, you just don't know what to do as the doctor told you your labs are all fine etc.
Why is this important to you, what are the consequences of not finding answers and solutions to your health struggles? *
What is the impact on your life, how you can show up, how you parent, how you work in your business, how you are with your partner, family, friends? - maybe you find your temper flares more often, you are emotional and feel depressed, you are losing connection with your partner, or your friends
What have you tried in the past to support your health concerns? *
e.g. Massage, Acupuncture, Naturopathy, Chiropractor, Kinesiology, GP, Gastroenterologist, Endocrinologist, Nutritionist, Gluten Free Diet etc
What was your experience with this other therapy? *
Is there anything else you would like to share with me? *
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