Thank you for your interest in my Holistic Gut Healing System! To help me understand how I can best support your gut health journey, I’d like you to please answer a few quick questions: Name * First Name Last Name Email* * Phone * (###) ### #### How did you hear about us? * Social Media (Facebook, Instagram, etc.) Google Search Referral from a Friend or Family YouTube Podcast Blog or Article Advertisement (Facebook, Google, etc.) Event or Webinar Email Newsletter Other 1. What specific gut health challenges are you currently experiencing? * 2. How long have these symptoms affected you? * 3. What methods (e.g., diet changes, medication) have you tried before, and what were the results? * 4. On a scale of 1-10, how committed are you to finding a sustainable, holistic solution? * 5. What are your top priorities in working with a gut health coach? (e.g., symptom relief, energy boost, improved diet) * *By submitting this form, you agree to join our newsletter and receive updates from us. We respect your privacy, and you can unsubscribe at any time.
