Anti-Inflammatory Mind-Body Breakthrough: Postpartum and Family Wellness

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Say this out loud: I am ready for an empowering journey to ignite my energy, transform my mom body, and guide my family to optimized health, shield against disease, and reach our postpartum and wellness goals.

Full name

Birthday MM/DD/YYYY

E-mail address

FB or IG handle

Please briefly describe your current family and postpartum health situation. What are your top three health and wellness goals for you and your family?

What challenges are you currently facing in achieving your postpartum and family wellness goals?

How do these challenges affect your daily life and overall happiness?

Have you participated in any wellness or health programs before? If yes, what was your experience?

On a scale of 1-10, how committed are you to transforming your and your family’s wellness and lifestyle? (1 being not committed, 10 being fully committed)

Not committed

Fully committed

Clear selection

Transformation programs require both a time and financial investment. Are you ready to invest in your and your family’s health and well-being?

Yes

Maybe

Clear selection

What is motivating you to make this investment now?

How will you define success at the end of the Mind-Body Breakthrough program? What are your expectations?

Is there anything else you would like to share that you believe is important for us to know?

Which is your preferred method for contact?

E-mail

FB messenger

IG direct message

Text (add your phone # below)

Phone call. (add your phone # below)

Other:

I understand that completing this application is the first step in a process and does not guarantee my acceptance into the program. I am serious about making a transformation in my life and am ready to discuss the next steps.
*

Yes, I'm ready to take the next steps!

Nevermind, I'm not quite ready for this transformation.

Upon submitting your application, we will be in contact with you using the preferred method you chose above with 24-48 business hours.

If you have any additional questions, feel free to DM me on IG @anti.inflammatory.living or send an email: hello@anti-inflammatoryliving.com

Thank you!

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