Accelerated Healing Weight Loss Program

Discovery Call Questionnaire

We’re excited that you’re considering the Accelerated Healing Weight Loss Program!

This program is designed for people who are serious about breaking old patterns, resetting their metabolism, and creating lasting results. Before we book your Discovery Call, we’d like to learn a little about you, your goals, and your level of readiness.

Please answer honestly — this isn’t about perfection, it’s about understanding where you’re starting from and how committed you are to change.

If it looks like a good fit, we’ll invite you to a call with our team to talk about your next steps.
Only those committed to transformation and open to following guidance are encouraged to apply.

Please complete this questionnaire with as much detail as possible. We look forward to reviewing your responses!

First Name *

Last Name *

Country *

Email *

Phone *

1. Tell us a bit about yourself. Where do you live, what do you do, whether you have a partner, children, etc. (A few sentences or bullet points please.) *

2. How did you first hear about the Accelerated Healing Weight Loss Program? What made you interested in contacting us?

3. What is your biggest concern right now?

4. On a scale from 1-5 (5 being the highest) how ready are you to make a change to your lifestyle (eating, lifestyle, exercise) in order to reach your goals? *

5. Why is now the right time to invest in yourself and take action? Why not six months ago or six months from now?

6. How committed are you to achieving your goals? *

I am fully committed - I have the resources to invest $2,500 CAD in my health to make this happen.

I am fully committed - I would have difficulty coming up with $2,500 CAD to invest in my health at this time.

I am pretty committed but I'm not really sure I am ready to prioritize my healing yet

I am not committed at all

Other

6a. If "Other", please specify

7. Anything else you would like to add?

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.