Apply to work 1:1 with the Hormone Healing RD Team!
We unfortunately cannot work with women outside of the US due to medical license restrictions. Please only apply if you are within the US. *
- I agree and am located in the United States.
What is your main concern when it comes to your hormones and overall health? *
- {name}
How long has this been going on? *
- {name}
What have you tried in the past? (practitioners, lab testing, supplements, different therapies, etc.) *
Please include whether or not the options you have tried worked in relieving your health concerns.
- {name}
Do you have any other pertinent health history that you can share? Even if you’re not sure if it’s important, list it below. It helps us with your health audit and what our plan would likely include for you. *
- {name}
What do you think is the biggest challenge in the way of your healing? *
- {name}
Please use the space below to describe your current diet. *
Please be specific: list breakfast, lunch, dinner and snacks, as well as the times you eat.
- {name}
Please take a minute to walk us through your typical day. What does a typical day look like for you from waking to going to bed? *
Our goal is to get a sense of the state of your nervous system and the demand on your body most of the time.
Things that are helpful for us to know:- Do you eat most meals sitting down or are you doing other things like working or on the phone?
- Do you take breaks throughout the day or are you going nonstop?
- How much time do you spend outside?
- What do you do for fun?
- Do you have a bedtime routine?
- Are there any more stressful parts of your day?
- How much time do you spend on screens/devices?
- {name}
Are you taking any supplements or medications? *
Please list what you take and what it's for.
- {name}
What (or who) would prevent you from completing a hormone healing program?* *
Please select all that apply.
- Money
- Job
- Time
- Resources
- Spouse/Partner
- Children
- Self
- Fear
How much money are you willing to invest in yourself to heal your hormones? *
- $4,500
- $6,500
- I could do a payment plan of around $250/month
- I am not willing to invest any of these amounts.
How long would you like 1:1 support for? *
- 4 months
- 6 months
- Other
What is your availability for meetings? *
- {name}
What timezone are you in? *
- {name}
After looking through your health audit and how our 1:1 programs work, what questions do you have? Is there anything that would keep you from moving forward? *
- {name}
When are you looking to get started with 1:1 support? *
- {name}
If you were to work 1:1 with the Hormone Healing RD Team, what would you expect to achieve? *
- {name}
Are you ready to prioritize your healing journey? *
We ask because while we would love to wave a magic wand and solve all of your main health concerns, it takes work from our clients in order to see results. We see the best results when our clients are prepared for our sessions. They show up with questions and have information to share about what they have been working on. They also fill out their weekly reflection forms and integrate the recommendations we make. This process is a team effort and only works if both parties are invested and giving it their all. We promise to show up and support you to the best of our ability every step of the way and expect the same from our clients.
- {name}
I understand by submitting this application that I am applying for a decision making call to see if this program is the right fit for me. *
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