Kids Happy Gut Program Application Form
Thank you for expressing your interest in our Kid's Happy Gut Program.

Please complete this form to apply for a complimentary 20 minute video call to learn more about our Happy Gut Program and see if it's right for your child!

Appropriate candidates will be contacted within 2 business days via email to book a call. Don't forget to check your junk folder as my responses often land there!
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Parent Full Name *
Child's Full Name *
Email Address *
Where do you live? (I currently accept clients from Australia and NZ) *
Has your child been diagnosed with IBS? *
What is your biggest struggle when it comes to your child's IBS? *
What have you tried so far to manage your child's IBS? *
How motivated are you to make dietary and lifestyle changes to help your child achieve relief from IBS? *
Not motivated
Extremely motivated
The investment for our Happy Gut Program is $225 per month for 4 months or $800 upfront. Are you financially in a position to commit to this? (If you are not ready to commit we do also offer individual sessions which can be booked at https://www.lifestylenutrition.net.au/contact-us/) *
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