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Gut Health Deep Dive Application Form
Thank you so much for trusting me with your health! Once you submit your application, we will be in touch within 3 days.
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First name:
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Last name:
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Age:
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Email address:
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Where do you live? (city and country)
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What are the main issues you're hoping a Gut Health Deep Dive will help with? Let us know about anything you've been diagnosed with and/or discomfort you are experiencing currently.
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What have you already tried to help with these concerns? Have you seen your doctor or another practitioner already?
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Are you currently being treated for any medical issues or taking medications? If so, please explain.
Your answer
Herbs and supplements will be a part of your custom protocol - these will be shipped to you. Are you comfortable using capsules/tinctures/teas?
Your answer
Is there anything you are not willing to do or that would stand in the way of you getting amazing results?
Your answer
Are you ready to invest $1,111 (CAD) into your health? Due to the nature of the Deep Dive, we cannot offer a payment plan.
Absolutely - sign me up!
I'm not ready
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