Embark on Your Journey to Wellness
Thank you for taking the time to consider the simply supercharged gut healing programs that changes lives. Please fill out the form below so I can understand your needs and serve you better. We will send you a confirmation email and an invitation to schedule a call after we review the application. Your trust is everything, and I am excited to embark on this journey with you!
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1
Today's Date
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2
Full name
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3
What's your best email?
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4
What's the best phone number to reach you on?
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5
How did you hear about us?
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7
Which Country do you live in?
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8
Which state do you live in if in the US?
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9
What are your three biggest struggles right now?
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10
What are you looking forward to with this call?
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11
Have you ever hired someone to help you out before?
- A Yes
- B No
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12
If yes, then what do you think was missing that didn't generate results? Please explain...
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14
Are you okay if I reach out to you via text message (text message rate will apply based on your carrier plan)
- A Yes
- B No
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15
What program are you interested in?
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16
Are you ready to make an investment in your health to finally get profound results?
- A Yes, I have the financial resources to get started.
- B Yes, I have access to the financial resources to get started.
- C No, I don't have access to the financial resources to get started.
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