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Join The Cancer Freedom Movement!

First, tell us a bit more about your situation, and let's see if what we do can help you.

Please fill in your details below. Once you click "Submit" you'll be taken to our calendar to book a free call where we can your goals and if we can help you reach them.

Name

Phone Number

Age

Gender

What state are you located in?

How did you hear about us?

Masterclass

Dr. Nasha Winters / MATC

Practitioner

Cancer Doctor

Podcast

Social Media

Friend

Other

What is/was your cancer diagnosis? (please include stage and date of diagnosis if applicable)

What strategies have you tried, if any? (natural or standard of care)

What areas do you feel the most support to make the needed changes?

Are you open to eating animal products?

Yes, no problem

Only fish, eggs, and/or dairy

Never

I'm not sure

Are there things that you are not willing to do/eat?

What other programs or practitioners are you working with currently or considering?

On a scale of 1 to 10, how committed are you to making the changes you need to make to achieve your health goals?

How would your life be different if your health challenges were resolved in the next year?

Participating in the Cancer Freedom Program is a significant investment of energy, money, and time. Are you able and willing to make this kind of investment in yourself at this time?

YES, absolutely!

I think so

Not sure...

Definitely not

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