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You have taken the first step in transforming your energy, confidence, and body

Take a minute to fill this out so I can learn more about you and your goals.
Every women’s journey is different — this helps me understand what’s really going on with your energy, hormones, and daily habits, so we can see if the Cortisol Reset Blueprint is the right next step for you. 💛

At Rooted in Mystic, we've helped hundreds of women 30+ rebalance their cortisol, get their energy back, and finally lose stubborn weight by fixing the root cause — not by restrictive diets or working out harder. This is a 1:1 program where you work directly with a certified health coach. Does that level of support and investment sound like what you're looking for? *

Yes - I am serious, and want to learn more about dropping stubborn weight and gaining energy in a holistic way

No - I’m going to leave this page immediately.

What’s your #1 health or fitness goal over the next 90 days? (Be specific, not just "lose weight"

Where are you currently stuck?

I've gained weight and don't feel like myself anymore

My energy and confidence has tanked

I'm consistent for a few weeks... then fall off again

I've never had real structure or coaching, and I know I need help

I've "Tried it all" - nothing seems to stick

What have you already tried to fix this? What happened?

How is this affecting other areas of your life such as work, sleep, relationship, children?

What makes you interested in working with our team specifically? *

Because I’ve followed you guys for a long time, and witnessed the amazing success stories and transformations, and hope to be your next success story!

Because I want to utilize a proven method that will address the underlying root causes of my weight loss issues, instead of being told “eat less, and move more.”

The support, knowledge, and accountability of your incredible team allows me to fully trust that you guys will be the last coach I’ll ever need.

All of the above

I’m not very familiar with your program, but I am interested in learning more!

What is your current occupation and how long have you been doing it?? *

Which country or region are you from? Time zones are really important for us to book your call at the right time.

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth? *

Yes - they're fully supportive

Yes, but they're skeptical or unsure

I'm not sure - we'll need to talk about it

No, I’m single AF and make my own rules, lol

Working with Rooted in Mystic and the Cortisol Reset is both a time and financial investment. If accepted, are you able to invest financially into your health, fitness and long-term success? *

Yes, I am ready and able

I may need to get creative, but I'm resourceful

No - I'm not in a position to invest right now

We like to keep things personal! What's your name?

Last Name

Phone Number *

Best number to reach you at (no spam)

Please confirm your mobile number [It's really important this is correct so that we can confirm your application + help you book your free strategy session]

Email *

So we can hook you up with some free resources after our strategy session

We'll Review Your Application And Be In Touch For Next Steps.