Apply To Work With Me - Upward Motion

Apply for a free 30-minute consultation call with Julie

Name

Phone

Are you able to be available between 10am - 6pm (Mountain Time) Tuesday - Friday, for a weekly appointment?

Yes No

Age

Briefly describe your current symptoms

What have you already tried to resolve these problems?

How are these issues holding you back or affecting your life and/or confidence?

Why is now the right time for you to address these issues?

Do you think friends and family will be supportive of you making changes to improve your health, energy and sense of well-being?

Yes No

Julie, if I am selected and decide to work with you, I’ll find a way to invest in myself and my future:

I have the necessary means to invest in my health and future I have the ability to get the necessary means to invest in my health and future I have no financial means to invest in my health and future