Concierge Membership Intake form

Complete The Membership Intake Form

Congratulations on being accepted into the Concierge Membership with Jayney Goddard. You are now part of an exclusive circle of just 100 individuals worldwide who will receive year-round personal guidance and support.

This intake form is your first step in shaping our work together. The more detail you provide, the better I can tailor your consultations and ensure that every session is meaningful, precise, and aligned with your goals.

Please Complete with Care

This form is designed to give me a clear understanding of:

  • Your personal and lifestyle details

  • Your current health and wellbeing goals

  • Any background information that may support our work together

  • Your preferred style of communication and availability

The more thoughtful and complete your answers, the more effectively I can support you throughout the year ahead.

Once you submit your intake form, you’ll receive your private booking link to schedule your first 45-minute consultation.

Please complete the form below with care and attention. Your form will be reviewed directly by me (Jayney Goddard), so that I understand your background, current health priorities, and aspirations.