Let’s work together.

Interested in working together? Fill out some info and we will be in touch shortly! We can't wait to hear from you!

Name

First Name

Last Name

Where are you located? (city/state)

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Phone

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Date of Birth/Age

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Referred by/ How did you find me?

Do you have experience with bioenergetic testing?

What are your top 3 health goals you hope to focus on while working together?

What are the specific health challenges you are dealing with at this time that you would like me to be aware of? Do you have a diagnosed medical condition? If so, please list it below.

How willing are you to change your health? Healing often requires major dietary and lifestyle changes.

What are your biggest roadblocks that are currently hindering you?

What services are you interested in?

Scan and Review ONLY- no deliverables. no follow up support. single consult only.

8 Week Package: Full Scan, Scan Review, Write Up, Follow Up, Protocol Chat Support

Consult with Alex to discuss health history, previous tests and discuss a plan for next steps

Roadmap to Healthy Babies (launching December 2024)

Are you prepared to make the financial investments necessary to receive the testing, education, and coaching you need?

Yes

Additional Notes:

Contact us.

elliottrayholisticwellnessco@gmail.com
‪(949) 942-5325‬

Office Hours 8-2pm MST, Monday- Friday.