APPLY NOWComplete this form prior to your scheduled discovery call Name * First Name Last Name Email * Preferred Start Date MM DD YYYY Which of my services are you interested in? Elemental Alchemy Healing Program Subconscious Mind Coaching HTMA Testing Energy Work Complex Chronic Disease Neurodivergent Nervous System Healing Nervous System Regulation Gray Hair Reversal What are your top 3 biggest health concerns right now? How is your health being managed currently? (Describe any medical professionals, coaches, or self-treatment you are working with) How would you describe your stress levels on a scale of 1-5? (1 is low stress, 5 is very high stress) 1 2 3 4 5 Briefly explain your answer to the above question. Have you ever done any subconscious mind work? If yes, briefly explain. What is your goal or intention in working together? What country (and state) are you currently in? Select all below I understand that none of the information Kailee provides is medical advice. I have scheduled my discovery call using the link provided to me. Thank you!
