Free 30 Minute Assessment with Elicia

If you are interested in working with Elicia, please fill out the information below. She will contact you to set up a Zoom Video meeting to discuss your individual needs and determine which program would be best for you.

The Free Assessment will help Elicia get a better understanding of where you are today to ensure that she can help. The information you provide is held in the utmost confidence. Please share what you're comfortable sharing.

Please provide  your responses below

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First Name
Last Name
Gender
Age
Location / Time Zone
Phone
What health problems are you currently experiencing? (Physical, mental, emotional, Candida, etc.)
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What have you tried that addresses these and other concerns? (Diet, supplements, doctor, holistic doctor, alternative therapies, medicine, spiritual healer, etc.)
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What would you like to focus on?
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Please list the best days and times to schedule your initial complimentary call with Elicia.
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How did you hear of Elicia?
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