Application: Root and Reconnect
Hi there!

I am honoured that you are considering working with me at this point in your health and nutrition journey.

This application will help to understand if we'd be a good fit to work together in my 12-week coaching program.

I am so passionate about the work I do and commit a lot of time and energy to my clients. It's important for us to feel aligned so that you can get the most out of this 1-on-1 experience with me.

Please note: this application is for motivated individuals who are interested in a high-level 1-on-1 program, tailored to your needs. If you are prepared to invest and take action to change your health and lifestyle habits for good, and heal on a deep level, then you are in the right place!

This application is the best way to get in touch and learn more about working with me 1-on-1 to achieve your health goals.

I look forward to connecting with you!

xo Jordana
כדי לשמור את הטיוטה אפשר להיכנס לחשבון Google. מידע נוסף
אימייל *
First & last name *
Phone number *
Age *
City & country *
What are your top health concerns? *
What's your biggest health/nutrition goal? *
What's your biggest roadblock? *
Why are you ready to make a change now? Why am I the best person for you? (And have you tried anything else?) *
On a scale of 1-10, how ready are you to make the necessary changes to reach your goals? *
This is not your average nutrition program; it's an investment in your health, well-being, happiness and growth. If we decide this program is right for you, are you ready? It's an investment of 3 monthly payments of $888 (or $2,555 paid in full). *
If there is someone who helps you make financial decisions, can they join the call? *
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