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Step 1 of 5 · Your goals
Takes ~6 min total

What are you trying to solve?

Start with the honest version. Whatever brought you here — even if it's hard to name — write it the way you'd say it to a trusted friend.

Your main health complaint

The one thing you'd fix first if you could. Be specific.

How does this affect your life?

What does it prevent you from doing that you love or need to do?

What would a good outcome look like?

Realistic wins — not "fixed forever." What would 6 months from now look like if this was working?
Step 2 of 5 · Your symptoms
Takes 4 min

Where in your body are things not working?

Root-cause coaching starts with a detailed symptom picture. The more specific you are, the faster we can tell whether I'm the right fit and where we'd start digging.

Which of these are you dealing with?

Select all that apply. We'll go deeper on each one in the discovery call.

How much is this impacting your day-to-day?

1 = barely noticeable · 10 = I've reorganized my life around it.
Barely noticeableLife-altering

What have you already tried?

We expect a long list. Tell us honestly what you've done and roughly when — it tells us what NOT to waste your time on.

Do you have recent labs?

If yes, we'll look at them before the discovery call. You can send them after you submit — this just helps us prepare.
Step 3 of 5 · Your history
Takes ~5 min

What's your medical history?

A short version is fine — we'll go deep in the full onboarding if we're a fit. Just the items that a practitioner would want on the table before we talk.

Current medications & supplements

Prescriptions, over-the-counter, and supplements you take regularly.

Diagnosed conditions

Anything a doctor has formally diagnosed — current or past.

Injuries & surgeries

Head, neck, spinal, concussions, sports injuries, broken bones, whiplash, surgeries. Chronology matters — rough dates if you have them.

Relevant lifestyle pressures

Quick check on things that commonly drive chronic symptoms. Select all that apply right now.
Step 4 of 5 · Logistics
Takes 2 min

How do we reach you?

The discovery call is 30 minutes, free, over FaceTime or Zoom. We'll follow up within one business day to schedule.

Contact details

When are you typically free?

Select any windows that work. We'll send specific options within those.

Anything else we should know?

Optional. Questions, concerns, context — whatever would help Tyler show up prepared.
Step 5 of 5 · Review & submit
Last step

Make sure this looks right.

Take one more pass — you can edit anything before we send it. Tyler reads every application personally; the more accurate this is, the better your first call.

Not medical advice. Tyler is a Master CHEK Practitioner and functional health coach (FDN Certification in Progress). He is not a licensed physician. Nothing on this form or in our conversations diagnoses, treats, or cures disease. You remain responsible for decisions about your medical care.
Received

Thanks — we've got it. Check your email.

Tyler will review your application personally. You'll hear back within one business day with specific times for a 30-minute discovery call. Reply to that email directly with anything you remember that didn't fit above.

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