ROOTED RESET APPLICATION

We are so glad you are interested in joining the Rooted Reset!

This short application helps us get to know you better and make sure this program is the right fit for your unique journey.

Complete the application below and check your email after to confirm your spot!

Have additional questions? Use the last question box to request a FREE discovery call or learn more about our program.

We can't wait to hear from you!

Name

First Name

Last Name

Phone

(###)

###

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What inspired you to consider the Rooted Reset? (Tell us a little bit about what brought you here)

What do you find are your biggest challenges regarding health, nutrition, or self-care?

Have you tried any diets, programs, or "resets" in the past? If yes, what worked or didn't work for you?

What would success look like for you after completing the Rooted Reset?

On a scale from 1-10, how ready do you feel to make changes to accomplish your nutrition and lifestyle goals?

Is there anything else you would like us to know or any questions you have before joining?