Application for Individual Consulting

Please complete the confidential application form below.

This information is used to help me better understand your specific primary health and/or performance concerns, and to establish your goals of consulting with me. You may answer with the level of detail you are comfortable with submitting. Once submitted, I will contact you directly to arrange an intro call.

All information disclosed is completely confidential. I fully respect the personal nature of any data and information your share with me.

Thank you for registering!

*Please note: I am currently completing my PhD - which means, consulting is not my full time profession. As a result, there may be periods of time where I will be unable to arrange an intro call immediately. If this is the case, once you submit the form, I will let you know approximately the time-frame that the call will take place.

I appreciate your patience and support!