Apply to Work With Me

Apply to Work With Me!

Dealing with hair loss or thinning can be overwhelming and isolating, but you don’t have to navigate this alone anymore. If you’re here, you’re likely ready for a deeper level of support.

Hair health is a reflection of internal health. We look beyond the surface to identify root causes such as hormones, thyroid, gut health, and lifestyle factors to support the body in restoring balance and optimal function.

Fill out the application below so I can learn a little about where you are in your journey and what you're working toward.

Once submitted, you'll be able to schedule your FREE 20-minute discovery call.

This call is a chance for us to connect, discuss how 1:1 coaching can support your goals, and answer any questions you may have. If it feels like a good fit, we'll discuss what comes next!

I’m so glad you’re taking this step toward your health.

I can’t wait to connect!

- Andrea

Name

Phone Number

What state are you located in?

Age

Best way to reach you

Phone call

Text/SMS

Instagram DM

How did you hear about me?

What brings you to this call?

Which best describes your hair concerns?

Excessive shedding

Thinning throughout the scalp

Receding hairline or widening part

Patchy hair loss

Other (please explain below)

If you selected "other" above, please briefly explain here.

Which best describes where you're at in your hair loss journey?

Just starting to notice changes and looking for answers

Overwhelmed by all the information online and need guidance

I've tried some things but not seeing consistent or lasting results

I have a diagnosis but want a natural approach

Other (please explain below)

If you selected "other" above, please briefly explain here.

Have you worked with a functional medicine or holistic health coach before?

Yes

What do you feel has been the biggest challenge when it comes to improving your hair health or stopping hair loss?

I'm not sure what's causing my hair loss

I've tried products/treatments but nothing lasts

Stress or lifestyle feels like a major factor

I feel overwhelmed by conflicting information

I haven't been consistent with a plan yet

Other (please explain below)

If you selected "other" above, please briefly explain here.

What have you tried so far to address your hair concerns? Briefly share anything you’ve tried (products, supplements, treatments, lifestyle changes, doctor visits, etc.) and what your experience was.

Why is it important that you solve these health challenges right now VS. a year from now?

Is there anyone else (spouse, partner, or parent) involved in your decision-making process?

Yes

Do you understand this is a private-pay concierge coaching program with high-touch support and is not covered by insurance?

Yes, I'm ready to invest in my health

I have questions about how this works

I'm looking for a provider that accepts insurance

How soon are you looking to start?

Immediately

Within the next month

Within the next three months

I’m just exploring options for now

How committed are you to making lifestyle changes to reach your health goals?

Fully committed, willing to do whatever it takes

Somewhat committed, but need support

Looking for guidance, but not sure if I can fully commit yet

What is the primary reason you are seeking holistic concierge care over traditional care?

I want a personalized plan and individual support tailored to me

I want to address root causes naturally without relying on medication

I want someone who looks at the whole picture, not just one symptom

I've been told everything is "normal" but I know something is off

What does support look like for you ideally?

I work best with structure, clear steps and accountability

I prefer guidance at my own pace with support when I need it

I need someone in my corner, I struggle with consistency alone

I'm not sure yet, I just know I need help

Apply to Work With Me!

Join Our Free Trial