Please reserve 30–40 minutes to take your time to thoroughly and truthfully answer all 25 questions very specifically and completely, so that we may best determine your needs and qualifications, customize a plan for you, and get to know you better. 

Once you complete this form, we will reach out to you within a week and schedule a virtual consultation lasting up to 30 minutes to further clarify your answers, to hear your voice and listen to your soul speak, as well as to give you more information, and you may come with your questions. 

Within a short time thereafter, you will receive a determination letter of acceptance (or non-acceptance), which will also include your Agreement with us that you will need to sign. Please know that even as much as we would like to, we cannot serve everyone and not everyone will qualify as a good fit for our programs, so we ask that you do not take it personally because perhaps things can change at another time. Thank you for your interest and efforts in applying for our wellness programs.