To reserve an appointment for your consultation, please complete the following:

Your name:

Your e-mail address:

Reason for consultation:

(Optional) Please list the top three things you would like to gain from this consultation:

Would you prefer a phone consultation or an in-person consultation (Pagosa Springs, Colorado)?

How would you prefer to pay?

Please choose a session length:

Please click to pay for one 1 hour session using your credit card:

To pay using a personal check: Please mail a check for the required amount to:

Quintessence Challis

P.O. Box 1784

Pagosa Springs, CO 81147

Please click to pay for one 30 minute session using your credit card:

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I understand that Quintessence will e-mail me regarding a time for our consultation (please check):

Please click to pay for one 90 minute session using your credit card:

Please click to pay for two 1 hour sessions using your credit card:

Please click to pay for four 1 hour sessions using your credit card:

Please click to pay for three 1 hour sessions using your credit card:

Need assistance in establishing optimal dietWeight lossGeneral health concernsEmotional concernsEating disorder(s)Just really like to talk on the phoneOther

Consultation via phoneIn person in Pagosa Springs, Colorado

Credit card (via secure pay)Personal checkTrade for my vacation home in Hawaii

30 Minutes: $50One hour: $751 1/2 hours: $90Two one-hour sessions: $140Three one-hour sessions: $200Four one-hour sessions: $250