Health and Lifestyle Consultation Form

All fields are mandatory. The form below is secure and all of your information will remain confidential.  

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
How did you hear about Global Health Renegade *
Please be specific in relation to your question(s). If you ask a general question, you will get a general answer in return.

For example, if your question is: I’d like to know about the benefits of fasting, you are better off buying the Fasting book on our products page as this is more of a generic question. I want you to maximise your investment in this consultation so have a careful think about your question.

Example question:

I have rheumatoid arthritis. How could I help alleviate this condition?

What is your question?