Application

Application Form

This health coaching program does not aim to diagnose or cure any disease. The program utilizes primal health principles (which involves the consumption of animal-based foods), bioenergetic health support using the scientific, research based NES Wellness System, movement training, and mindset/mind-body connection techniques.

You are invited to fill out this application with no obligation to start your transformation.

If you are selected, you will hear from me within 48 hours.

- Elizabeth

Are you able to be available and commit to weekly phone or in-person appointments? Please select your generally available times (can select multiple):

Mornings ( 8 am - 11 am)

Midday (11 am - 3 pm)

Afternoons (3 pm - 6 pm)

Briefly describe your current symptoms affecting your health:

How are these issues holding you back from life, relationships, career, service, or aspirations?

Why is now the right time for you to have help in addressing your health?

Do you think friends and family will be supportive of you making changes to improve your health? Are there any changes that you think may be off limits? For example- you will NOT exercise under any circumstances, or you are not willing to work on changing eating habits:

What have you done in the past or currently to try to help address your issues?

What is your greatest fear that comes up when thinking about trying to resolve your health challenges?

Elizabeth, if we decide to work together, I’ll find a way to invest in myself and my future:

I have the necessary means to invest in my health and future.

I have the ability to get the necessary means to invest in my health and future.

I have no financial means to invest in my health and future.

Are you intrested in a Christian/Catholic faith-based approach to your coachig program?

YES

Thanks for submitting!