Apply to Trust Your Gut - GHA Signature Program

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

A 6-month program led by a team of gut health specialists, customized for you to understand the root cause of your gut issues, acid reflux, bloat, and constipation through GI Map testing, mindfulness, abundance mindset, curated learning modules, and habit change so you can live freely, abundantly, and joyfully again.

Please provide as much detail as possible so we can determine if you are a good fit for our program.

After your application is reviewed, you will receive a confirmation and follow-up email.

Email *

First and Last Name *

Date of Birth *

YYYY

Mobile Phone *

How did you find us? *

Instagram

Friend/Family referral (please name them below)

Physician referral (please name them below)

Other:

Required

What is your most pressing health concern at the moment? *

What have you done in the past to work on this condition? (alternative & traditional modalities) *

What would you like your health to be in 6 months from now? *

How would you feel if you easily got this result? *

What obstacles, challenges, struggles, or resistances get in the way of you having the health that you want? *

To know thyself is our greatest gift and superpower. What type of decision maker are you? (Chose the option that best describes you.) *

I make decisions carefully, I need a lot of information.

I make decisions instantly and based on gut instinct.

I find decision making to be difficult and often stuck in analysis paralysis.

I find decision making easily, but sometimes I find myself regretting my choice.

Other:

Why do you want to hire us as your gut health experts? *

We believe in transparency and that "Clear is Kind." Have you read through the details of the program and understand the financial and time investment?

Option 1

Clear selection

Transformation requires commitment and radical self-responsibility. Working with the GHA is a physical, emotional, and financial commitment. Are you (and your support team) ready to invest in your long term health? *

It's a full body heck yes for me!

Maybe: I need more info, please.

No, I'm not prepared to invest.

You're almost done! What are 5 things you love about your life? *

Is there anything else you would like us to know?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of A Mindful Life, LLC. Report Abuse

Forms