Application to Work With Esther "*" indicates required fields Name* First Last Email* Phone*How did you hear about Esther?* What's the specific problem that you need solved?*Why do you want to solve this problem?*On a scale of 1-10, how committed are you to investing time and resources to solve this problem?* What do you want to do when you feel better?*How committed do you feel towards getting results for yourself?* Cost is not an obstacle when seeking care and following through with treatment protocols. I am willing to invest in my health I just want to understand the deliverables. I don't have any resources to invest at this time. Would you be interested in group coaching?* Yes No EmailThis field is for validation purposes and should be left unchanged.