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Join The Cancer Freedom Movement!

Thank you for your interest in joining this program.

Before we can get going, I first need to know a little more about you and if you’re a good fit for what we offer.

Please fill in your details in the form below. Once you click “Submit” you’ll be taken to my calendar to book a no-pressure, 20-minute call. On the call, we’ll have a chat to about goals and find out if I can help you reach them.

Name

Phone Number

Age

What country are you currently located in?

What is/was your cancer diagnosis?

Please list your current symptoms in order of importance to you.

What strategies have you tried (if any)?

What are your 3 biggest barriers to making lasting changes?

On a scale of 1 to 10, how committed are you to making the changes you need to make to achieve your health goals?

This journey may require you to do odd things or eat weird foods. Are there things that you are not willing to do/eat?

How did you hear about us?

Dr. Nasha Winters

Other Practitioner

Friend

Podcast

Social Media

Other

Do you have the financial means to invest in your health right now?

The investment to work together in a high-level relationship is a minimum of 5 figures and requires a minimum of 5 hours of training and implementation per week. Are you able and willing to make both the time and monetary investment in yourself?

YES, absolutely!

I think so

Not sure...

Definitely not

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