1:1 Deep Dive Genetic Analysis Application

In order to keep Discovery Calls free of charge, Dr. Panzner only accepts calls to those serious about taking action to improve their health and performance. Please fill out the application to be considered for a call.

First Name *

Last Name *

Email *

Phone *

How old are you? (Or how old is the person that needs support?) *

How would you describe your overall health status currently? *

Horrible

Poor

Decent

Good

Great

Stellar

Please share some basic information about your past health history, current health struggles, and future health goals. *

What is the main reason you're applying for coaching with Dr. Panzner right now? *

Do you take any nutritional supplements? If so, briefly explain who recommended them and your level of understanding of how they're helping you. *

Which best describes your situation when it comes to investing in improving your cellular health? *

I have the financial resources to invest in my health

I have access to the financial resources to invest in my health

I am currently unable to invest in my health

How did you hear about Dr. Panzner? *

I've been following him

Podcast

From a friend/family member

From a healthcare professional

Found on Social Media

Found on:

Instagram

Facebook

Youtube

TikTok

You will receive 2 short videos explaining the process and commonly asked questions to help prepare you for your call. Please confirm you will watch them and come to the call prepared to make the best use of your time.

Yes, I am going to show up!

I confirm that I want to receive content from this company using any contact information I provide.