Pay in Full

$3,000 (one-time payment)

Split Payment

$1,500 now + $1,500 in 30 days

Special One-Time Offer

Add 2 private one-on-one sessions with Christina for just $1,000

Christina’s work is deeply personal and highly customized. This application helps us determine whether you’re a fit for her private, concierge-level program ( before scheduling a consultation. Please answer each question honestly and thoroughly.

There are no “right” or “wrong” answers—we simply want to make sure this is the best next step for you.

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Contact Information

Full Name *

Email *

Phone *

I Consent to I Consent to Receive SMS Notifications, Alerts from company. Message frequency varies. Message & data rates may apply.

Text HELP to (817) 597-0278 for assistance.

Terms and Conditions

1. What's your current role/title? *

If you choose others, please specify *

2. What best describes your current health situation? (select the closest match) *

I’m functional but struggling with chronic symptoms that are affecting my energy, focus, and quality of life

My health is significantly limiting my ability to work, lead, or show up for my family.

My symptoms have reached a crisis point and I’m worried about long-term or irreversible damage.

I'm high-functioning but operating below my peak capacity, and I refuse to accept this as my new normal

How long have you been dealing with these symptoms or conditions? *

4. What have you already tried to resolve these issues? (select all that apply) *

Western medicine (insurance copays, deductibles, out-of-pocket)

Supplements and protocols

Equipment you've bought

Functional medicine practitioners

Alternative therapies

Testing not covered by insurance

Everything else you've tried

Please explain: (open text field) *

5. What impact is your current health situation having on your life? (select all that apply) *

I can’t perform at my best at work or in my business.

My relationships and family life are suffering.

I feel like I’m losing my edge—physically, mentally, or emotionally.

I’m concerned my health issues could shorten my life if I don’t address them.

I feel like I’m just “surviving” instead of thriving.

6. How many hours each week do you lose to your health? (This includes time spent in pain, too exhausted to function, at medical appointments, or managing symptoms.) *

7. What would resolving your health challenges mean for your business, career, and family? What becomes possible when you're operating at 100%? *

8. In your ideal world, what would your health and life look like if you could resolve these issues? (Open text field) *

9. On a scale from 1–10, how urgent is it for you to find a solution?

(1 = “it would be nice eventually,” 10 = “I need to fix this NOW before it’s too late”) *

10. If you found a proven process to get to the root cause of your health issues and resolve them for good, how committed are you to following through? *

Week 1: Come to Central Texas (4 days)

Month 6-9: Texas retreat (4 days)

Month 9-12: Costa Rica retreat (4 days)

Plus 12-18 months weekly video calls + daily work

11. How much have you already invested trying to resolve your health challenges?(This includes doctor visits, medications, alternative therapies, supplements, programs, etc.) *

12. What financial resources do you currently have available to invest in your health and reclaim your energy, clarity, and quality of life? (Think available savings, credit, or other immediate resources) *

13. On a monthly basis, what would you be willing and able to invest to resolve your health challenges at the root cause? *

14. Have you ever worked with a high-touch coach or concierge-level practitioner before? *

(If yes: please share your experience in a few sentences)

15. Are you currently under the care of any other practitioners, coaches, or programs? *

16. If accepted, are you willing to make the necessary lifestyle and financial commitments to follow Christina’s program through to completion? *

17. Anything else you want Christina to know about your health, your goals, or why you’re seeking support now? (Open text field) *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business. Contact (817) 597-0278