You’re One Step Closer To Joining...

Self-Care Blueprint

Go ahead and submit your details to see if you qualify for our Detox program!

TAKE YOUR POWER BACK WITH HABITS THAT HEAL

Why Self-Care Blueprint?

Quick note from Cynthia Blancaflor:

Hey, first off, congrats on taking the first step!

Now you’re here on the application page... (*takes a deep breath*)... and you’re probably thinking, “Is this really for me?? Can I really do this...?”

If you’ve tried supplements, drugs, short detoxes…
If you’ve tried fad diets…or Just ignored your pain.
And Still NOTHING HAS WORKED TO FULLY HEAL YOU.

This is your Self-healing Invitation to
Take Your Power Back with Ancient Wisdom,
that has stood the test of time, to heal the root.


The truth is, you’re in good company because almost every person that has joined the Self-Care Blueprint and had a transformation...felt the same exact thing you’re feeling right now.

So before you fill out the application, make sure you watch the testimonials on last page and the video above...to align with those who said yes and took the next step, choosing to feel your best whether you are new to detoxing or have detoxed before. 
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​This is different than anything you've experienced, as my clients say.


Feel empowered knowing that you are in good hands with right teacher to set you on the path of self-healing the root of whatever it is, that has been making you suffer!

Know That THIS WAS MADE EXACTLY FOR YOU!

— Coach Cynthia B.

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STEP 1:

Fill In Your Details Below...

Yes, I want the fast track to improve my health, and I'm interested in joining "Self-Care Blueprint: Become Your Own Healer" detox lifestyle medicine program.

This is my confidential application form:

First Name

Last Name

Email Address

Phone Number

What is your main issue?

What are your Main Health goals for joining SELF-CARE BLUEPRINT?

List your current health issues and how long you have dealt with it.
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Then describe what would your ideal health state would be once you've fully healed.  

Do You Believe Coaching with Cynthia Could Get You There?

What is your #1 challenge improving your health right now?

What have you done to self-heal your condition, if any?

What is your current diet and self-care routine?

What health issues run in your family? Do you have any similar issues right now or in the past?

Do you have any chronic illness or ongoing medical issue that requires medication (or no meds)? If you're taking medication, how long have you taken them?

How much do you believe in doctors, drugs and surgery to achieve long-lasting health?

Have you detoxed before? If so, did you get the results you wanted?

Have you been coached before? If so, did you get the results you wanted?

Please list here any other areas of your lifestyle beyond food, you would like to improve such as mindset, meditation, emotional health, stress level, daily movement, community connection or anything else needed to live your best life.

Which program(s) interests you?

Is there anyone you make financial decisions with? If so, please put their name below.

If invited to a coaching program, would you be ready to invest? Custom programs start at $2K

Please rate your current level of wellness.

What brings you joy? What do you want more of right now?

By submitting this application you understand that this is a substantial investment in your future and you are prepared to commit the time and resources to get the results that are possible. How would you best describe your commitment level right now?

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