Join The Wellness Coaching Program - Wellness With Hashimoto's Disease

Full Name *

Email *

Instagram Handle (If you have one).

I love connecting with you & following along your health journey!

Date of Birth *

Are you located in the U.S.? *

Where are you located? *

What lead you to want to join my coaching program? *

Are you ready to commit to yourself and this coaching program for 4 months? *

I AM 100% IN!!!
I think so!
Hesitant on the time commitment or changes I will need to make

Have you worked with an Integrative Health Practitioner before? *

Why are you wanting to work with me or why do you think it didn't work in the past? *

What are your current symptoms, health challenges or concerns? *

How are you currently trying to remedy those challenges or concerns? *

Which of the following have you worked with in the past or are you currently working with? *

What have you already tried to address your main health concern(s)? *

Are you currently taking any medications or supplements? If yes, please list below with as much detail as you can: Example: Daily Probiotic Support - Equilife *

Are you currently Pregnant, breastfeeding or TTC? *

Have you done any lab testing with your current provider? *

What are your main goals you hope to accomplish from this program? *

How ready are you to invest your time, heart, energy, faith, and finances into healing? 5 is ALL IN! *

If you could snap your fingers and make these 3 things happen, what would they be? *

Anything else you would like me to know? *

WHAT TO EXPECT

This application is for those who are interested in joining my 1-on-1 Wellness With Hashimotos Coaching program. This program is based upon what YOUR body needs to rebalance and get rid of those pesky symptoms. This is for the person who is fed up with being told they are "healthy" despite feeling unwell, exhausted, and not themselves. This program will help you discover root causes as to why you do not feel your best and want a specific plan created just for YOU!

Expectations:
- The Wellness With Hashimotos Coaching Program is a 4 month program that includes four 1-on-1 zoom calls. The first 2 calls are 60 minutes and the following 2 are 30 minute calls. You will receive a personalized protocol after each zoom uploaded to your patient portal that you have access to download or print. You also have 24/7 access to me in between appointments through email or chat in your client portal. This costs $950 (3 month payment plan available during checkout) and includes one functional lab that is taken in the comfort of your own home.
- For every year you have felt unwell, expect on average 1 month minimum to restore balance; by working with Rachael, you understand that 4 months may not get you completely feeling 100% better but you can have HUGE changes in how you feel if you follow your protocol and you will have the option to continue on with Rachael, if you desire, after the 4 months.
- Included in the coaching program - you will be able to run one functional lab of your choice (out of 2 choices) but will be given the option to run additional functional labs, if you choose, for an additional cost. These allow us to KNOW what your body needs instead of guessing what your body needs. You will be given a choice to add-on additional lab tests in your intake process, if desired.
- Supplements are necessary; they each have their specific role in your personalized program; expect around $200-400 dollars worth of supplements for the first few months at least.
*Lab testing is not available in New York, New Jersey, or Rhode Island

Once I open up spots for the coaching program, you will be notified by email (in order of application). You will be emailed a link to sign up for the program, once you do this you will schedule your first appointment and be sent intake forms that you need to fill out prior to our first appointment. You will have 3 days to sign up for coaching program or the spot will be released to the next person in line.

Thank you for your interest in this program! I am excited to be working with you soon! Rachael Webster

I have read and understand the "What To Expect" section for the Hashimotos Wellness Coaching program. I also understand and give you the right to store and use my contact information for future communications. *

Yes
No (If selected, you will be filtered out of the waitlist until you are ready to say YES)

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