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Client Application Form
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How did you hear about Anne Easthope?
What are your top health goals in the next 12 months? Be specific
If you could erase 3 problems related to your health, what would they be?
What has been your biggest struggle to reach these goals?
What are you MOST excited about happening if in 12 months from now you are feeling, looking, and performing better than you ever have?
Are you at a place in your life where you are ready to commit to your health, energy, and goals?
This health strategy plan is based on lab data and lifestyle. Are you wanting to have comprehensive laboratory testing completed for in-depth data on biomarkers such as nutrient levels, food intolerance, gut health, immunity status, genetics?
The investment to work with Anne Easthope in a 1:1 program is a four figure investment. Anne accepts a very limited number of clients every six months who choose to work with her privately. Are you mentally and financially ready to commit to your health in this way?
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