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EMBODIED Application Form

Thank you for your interest in EMBODIED, Tyler Jean’s private health and personal transformation mentorship.
This application is designed to help us learn more about you, the changes you are seeking, the challenges you are currently navigating, and why this work feels aligned for you.
About EMBODIED
EMBODIED is a highly personalized, 6- or 12-month private container designed to support transformation across your physical health, lifestyle, emotional patterns, self-awareness, identity, and overall well-being.
Depending on your needs, the work may include a functional health assessment, interpretation of relevant lab data, personalized nutrition and lifestyle guidance, nervous system and somatic support, behavioral strategy, spiritual guidance and medicine-related preparation/integration, identity-focused coaching, relevant resources, practices, referrals, and access to Tyler’s extended professional network and ongoing private advisory support.
Scope of the Relationship
Although Tyler is trained as a naturopathic doctor, his role within EMBODIED is that of an integrative health practitioner, spiritual guide, and integrative transformation advisor.
Participation in EMBODIED does not establish a conventional doctor-patient relationship.
Investment and Commitment
EMBODIED is offered as a 6- or 12-month private engagement. The investment is $10,000 USD per month.
Because this work is highly involved and intentionally limited, Tyler works with no more than 3 private clients at one time.
To be considered, please complete the application below and allow 2-3 business days to receive a response.

First Name

Last Name

Date of Birth

Gender

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City

State

Country

Home Phone

Mobile Phone

Email

Preferred contact method

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What is your motivation to seek guidance at this time?

What's important for you in a mentor/guide? Why do you feel Tyler could be a great fit for you?

What change(s) would you like to make in your life over the next 12 months?

What long-term changes would you like to work towards?

What would make our work together successful for you?

On a scale of 1 to 10, rate the quality of your life today.

What major transitions or life changes, if any, have you had in the past two years?

How would you rate your overall physical health?

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Please list 1 to 5 health goals you would like to attain for yourself, in order of priority:

Goal
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5

What obstacles do you see standing in your way to achieving the aforementioned health goals?

On a scale of 1-5, with 5 being the highest, how committed are you to making changes in your life right now?

What is one thing that you want more of in your life right now?

How will you know that you are getting value from our time together?

What providers and treatment modalities have you explored (MD, ND, acupuncturist, psychotherapist, chiropractor, herbal medicine, plant-medicine, etc.)? How have they been helpful?

Anything else you'd like to share that you think is important for Tyler to know?