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Terrain Advocate Program
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Contact Info
First Name
Last Name
Title
List all credentials
Country
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Islands
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of
Cook Island
Costa Rica
Cote Divoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Egypt
El Salvador
Equador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Macdonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia (Rep. of Fmr Yugoslav)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Metropolitan France
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
S. Georgia and S. Sandwich Islands
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Helena
St Kitts and Nevis
St Lucia
St Pierre and Miquelon
St Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands - British
Virgin Islands - US
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Address 1
Address 2
Postal Code
City
State/Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Europe
Armed Forces Pacific
Armed Forces the Americas
California
Colorado
Connecticut
Delaware
District of Columbia
Fed. States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Is.
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone Number
Whatsapp Number
Email Address
Yes, I would like to receive email communications.
About you
Are you currently a Health Coach, Nutritionist, Dietician, Nurse, Wellness Practitioner or Licensed Healthcare Practitioner?
Yes
No
Unsure
Please list your occupational experience in the healthcare/wellness industry to include all previous health, medical or coaching certifcations.
Are you employed by a physician or practice that has been trained in the MATC master course?
Yes
No
Unsure
Have you read The Metabolic Approach to Cancer?
Yes
No
Unsure
Do you have a cancer diagnosis?
Yes
No
Unsure
Are you aware of the mission of the Metabolic Terrain Institute of Health?
Yes
No
Unsure
Have you incorporated the Metabolic approach in your own life and how?
Yes
No
Unsure
What interests you in the Metabolic Approach to Cancer?
Your needs
What is your support system for preventing burnout in doing this type of work and how do you continue to work on your own emotional wellness?
What are your strengths that will assist you in completing this course and becoming an advocate?
What will be the biggest hurdle to completing this course?
There is a strong emphasis on the mental/emotional aspects of the disease process in this program. Are you comfortable with the terrain approach which includes incorporating mental/emotional components of the healing process?
Yes
No
Unsure
Is it important for you to have community support and mentorship after the course is complete?
Yes
No
Unsure
Other questions
How did you hear about the course?
If referred, please state the person or organization that referred you.
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