Dear Greatest Cleanser,

Thank your for placing your trust in me. I am committed to your transformation and together we will be successful!

I know for a fact that I can help you emerge into the beautiful, strong, confident, vibrant, happy & healthy person you were designed to be (before the toxic world got into your cells, systems & pathways)!

In order to best serve you, kindly respond with as much detail as you can. Your responses will be kept in utmost confidence.

Bear in mind, the ‘formula for cleansing is universal – meaning the concepts I work with work for ALL! My teachings and guidance are based in the sub-atomics of Natural Law. However, at the same time, YOU are unique – carrying your own personal preferences, inclinations, desires, goals, patterns, habits and appetites. The more I know about these, the more I can line you up for success!

I appreciate your unique wiring and the questions below can help me tune into YOU.

Reminder : If you do not have time to complete this questionnaire now it will also be available in your online course portal to complete before we start (You only need to complete this form once)


Always consult your physician or other health care professional prior to starting this or any other fitness program in order to determine if it is right for you. Do not start this fitness program if your physician or health care provider advises against it. If you experience faintness, dizziness, pain or shortness of breath at any time while exercising, you should stop immediately. This course offers health, fitness and nutritional information and is designed for educational purposes only. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis or treatment. If you have any concerns or questions about your health, you should always consult with a physician or other health
care professional. Do not disregard, avoid or delay obtaining medical or health related advice from your health-care professional due to something you may have encountered
here. The use of any information provided here is solely and strictly at your own risk.