Apply to work 1:1 with Tara

*Please Read First*

This application will help give me understand your current health struggles and goals to see if you are a good fit for Gut Well.

The full details about my program can be found at: www.taramichellehealth.com

This program is for you if you are fully committed to improving all areas of your health and overcoming your chronic symptoms once and for all.

This program is not for you if you are looking for a quick fix and not willing to make significant changes that are necessary to overcome your symptoms.

When you submit your application, you will be directed to the booking page to schedule your 30-minute clarity call.

I'm looking forward to meeting you! :)

Full Name *

Phone *

Email *

Age *

Where are you located? (state/country) *

How did you hear about Tara? *

What are the top 3-5 health issues/symptoms you are looking for support with? Please be specific (i.e.: bloating, constipation, acid reflux, acne, PMS, etc.). *

How long have you been struggling with these symptoms for? *

What sorts of things have you tried to address these issues so far? *

What improvements in your health do wish to see within the next 6 months? *

Why is it important for you to solve your health issues right now? *

Are there any obstacles getting in the way of you successfully completing a health-building program? (i.e.: time, relationships, anxiety/mental health, eating disorder, etc.) Please be honest. *

On a scale of 1-10, how committed are you to achieving your health goals? *

Please list any current medical conditions or diagnoses.

Please list any prescription medications you are currently taking.

This is NOT a weight loss program or a vegetarian/vegan program. If either of those are a non-negotiable for you, then this program is not a good fit. *

I acknowledge.

My individualized approach is extremely thorough and in-depth in order to help my clients achieve the best results possible. Due to the level of individualized support, resources, and research required to achieve life-changing results, this program is a significant investment in both time & money. The total investment to work with me for 6 months is $3700 + $750 in lab fees. Payment plans are available and financing options are available. Is this something you are ready to invest in? *

Yes. I understand the value of my health and I know this approach will save me time and money in the long run.

It might be a stretch, but I'm willing to find a way to make it work if it's what I need to be successful with my healing

I'm not willing to make those sorts of commitments to my health at this time

Is there anything else that would be important for Tara to know?

DO NOT CLOSE THIS WINDOW. You will be redirected to the scheduling page to schedule your clarity call after submitting this form. Please be sure to schedule your call right away.