Step 1/5 : Apply for The Great Reset

After completing your application, you'll be directed to our calendar to schedule a complimentary 45-minute consultation with Amanda Chinkan!

First Name *

Last Name *

Email *

Phone Number *

Instagram Handle *

1. To confirm, you are filling this out because you KNOW there is more your body can do and you are ready to take the steps necessary to change your body for good! *

Yes! I'm ready to change my diet and lifestyle so I can be healthier and live a life not controlled by symptoms!

No, I'm not ready to make massive change and am leaving now.

2. Which of the following best describes your goals for your health? *

I want to lose 20-40lbs

I want to lose less than 15lbs

I want to get rid of symptoms that are holding me back in life

I want to change my diet to be healthy for ME

I want to understand my body's real needs

I want to learn how to break free of stress eating and binging

3. What makes you interested in this type of lifestyle change? *

My symptoms are so bad that I can't take it anymore

Doctors helped me a little, but I have not fully gotten control

I'm tired of feeling like crap

I want to make changes so the people I love can have the best version of me

I know I can get my weight under control without having to resort to drugs, I just need help to learn how

4. Be 100% honest: What do you think has held you back from achieving your health goals until now? *

5. Do you have a significant other or valued friend who helps you make decisions and should be on this call? *

No, I make all my own decisions and don't need others opinions

Yes, I'll be sure to book a time when we can both be on the call

6. If you feel The Great Reset strategy we map out for you on the call is exactly what you're looking for, would you be willing (and able) to invest in your health and wellbeing? *

Yes - I have the cash flow to invest in myself.

Yes - I may or may not have the cash on hand but I can get resourceful and/or have access to credit.

No - My cash flow is month to month and I have no access to credit.

7. Once you click "Submit" you will be able to schedule a call with our team. Will you 100% be able to make the time you choose? We do not reschedule no-shows. *

Yes - I will stay 100% committed to the time I choose

Maybe - I'm not sure if I'm serious.

Where did you hear about us? *

If you selected "Friend/Family/Coworker," please type their first and last name below so we can send them a free gift!

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