Name

First Name

Last Name

Phone

(###)

###

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What are your top health concerns / pain points with your fibro / other health issues right now?

What treatments for your fibro have you tried so far (if any)? What has helped? What has not helped?

Are you open to exploring natural, holistic remedies for your fibro?

The Fibro Protocol is a 12 week program and $1697 CAD investment. Are you ready to invest in your health today?

YES

SOON!

From a scale of 1-10, how committed are you to making changes in your health today? (10 is most committed)