APPLICATION TO WORK 1:1 WITH ME

BECOME A CLIENT

Thanks so much for your interest in working together!

Please fill out the application to the right. Once I review your application, I will get in touch.

If you have any questions or a special request, I’d love to hear from you. You can shoot me an email at hi@teresatao.com.

Name

First Name

Last Name

Phone

(###)

###

####

What are your top health goals and concerns?

Why have you decided to make changes about your health and reach out to me today? Was there something that prompted you?

There is a time and financial investment required in order for us to work together. Are you ready to make this time and financial commitment for you and your health?

Yes!

Maybe

When would you like to start working together?

As soon as possible

Within 1-2 months

I know I want to, but I may need more time to get started

Is there anything else you would like to share with me?