Go With Your Gut Clarity Call
Please fill out this application and Diana Lane, LAc will contact you soon to schedule a clarity call to chat about your current situation, get some holistic recommendations, explore Rooted Radiance and see if this comprehensive holistic lifestyle program is the right fit to meet your healing goals. 
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Name *
Phone Number *
Email *
What are your top 3 health focuses, concerns or goals? *
What are the primary symptoms you are currently experiencing (or have experienced over the past 3-6mo)? *
Have you done any lab work recently and if so what was the prognosis? *
Have you had any western diagnoses and if so what? *
What have you tried so far? *
What's worked for you and what hasn't? *
What supplements are you currently taking? *
What's your weekly activity level like? *
What kind of dietary considerations do you follow and what does your weekly nutritional intake look like? *
Are you currently working with any other practitioners? If so what kind and for how long? *
When it comes to your health goals- how will you know when you've found a solution? *
How committed are you to finding this solution? *
Not really committed at all...
I'm ready for a solution yesterday!
When it comes to a comprehensive holistic program, what specifically are you looking for support wise?  *
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