Apply to Work With Dr. Debbie Smrz, ND

This application helps determine whether working together is the right next step. Not all applications move forward.

• This is not an intake or treatment request
• Submitting an application does not guarantee a call
• If aligned, next steps will be offered

Context

Full Name *

Email Address *

Age Range *

Under 30

30–39

40–49

50–59

60+

Why Now

What prompted you to apply at this point in time? *

Insight & Impact

In your own words, what do you think is going on? *

Which areas are most affected right now? *

Energy / fatigue

Brain fog / focus / memory

Mood / anxiety / motivation

Hormones / sleep

Weight / metabolism

Performance / capacity

Other

Effort History

What have you already tried to address this? *

What helped — even slightly — and what didn't?

Readiness & Responsibility

If you gained clarity about what's driving this, what changes are you realistically willing to make? *

Nutrition

Sleep

Stress / workload

Movement

Habits / mindset

Medical or therapeutic support

I'm not sure yet, but I'm open

My work begins with assessment and strategy, not quick fixes. How does that land for you? *

That's what I'm looking for

I'm open but want to understand more

I was hoping for faster symptom relief

Which best reflects your expectations? *

I want a partner to help me understand and navigate this

I want someone to tell me exactly what to do

I'm overwhelmed and unsure

Capacity

Do you currently have the time and mental space to prioritize your health? *

Yes

Somewhat, with guidance

No, not right now

Investment Readiness

My work is assessment-driven and typically involves a personalized plan rather than single visits. Depending on scope, clients commonly invest in the $1,500–$5,000 range over time.

If we determine this is a fit, are you prepared to invest at this level? *

Yes

Possibly, depending on scope

Alignment Check

What about my approach made you want to apply specifically here? *

Is there anything you think I should know before deciding whether a conversation makes sense?

Contact

905-604-2491

[email protected]

Markham, Ontario

Quick Links

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