YES! I want to discover and resolve the root cause of my health issue! Here's my application...

YES! I want to discover and resolve the root cause of my health issue! Here's what I understand so far about my situation...
The first step in me helping you is to gain some essential background.

The 5 minutes it will take you to answer a few questions will speed up our time together for your complimentary 15 minute consult.

Rest assured all details are completely confidential and for my eyes only.

Many thanks.

Kim
Personal Details
Name*

First NameLast Name
Occupation*
How did you hear of Kim Knight Health / The Art of Health?*
Phone Number (I will only call you at a pre-arranged time)

Area CodePhone Number
E-mail (so I can reply to this communication)*
Country / Time zone*
Age*

Your Situation
Tell me about the health issue you would like help with? If you have a diagnosis please put it here.*
Please list the main symptoms which are bothering you*
Complete the following statement: "I haven't felt well since..." or "things haven't been right since"...*
How is your life currently limited as a result of what you are experiencing?*
What would your life look like if this issue was resolved?*
What other healthcare approaches / therapies have you tried? What difference have they made? Please list both conventional and natural solutions.*

Investment

Giving me an honest estimate of how much you are able to invest in yourself helps me to determine which of my services (1-1 coaching or online self-help programs) will best suit you.
My budget for investing in a health program which will create positive lasting change for the rest of my life is...*

$500-$1000 USD$1000-$3000 USD$3000-$5000 USD5000-10,000 USD

How ready are you to get started?

In 25 years of coaching and exploring chronic illness recovery there is one thing which will determine your outcome: your readiness to commit and get started. Please indicate your readiness for explorations into a new way of being (guided safely and expertly so there is no need to be worried!).
How ready are you for a different and better outcome?*

I'm absolutely ready to get started.I'm unsure, I'm just checking out a few optionsI'm not feeling ready yet

YES! I want to discover and resolve the root cause of my health issue! Here's what I understand so far about my situation...