Autism Strategy Session Questionnaire
Let’s see if you qualify

You’ve taken a big step toward figuring out exactly what changes you need to make to heal your child’s autism.

Step 1
Fill out the brief get-to-know-you questionnaire below. If you qualify you will receive an email IMMEDIATELY from my office to arrange a time for your complimentary Autism Strategy Session.

Step 2
If you get contacted, get yourself scheduled right away using the link provided. Please know that availability with Dr. Lyons is extremely limited and she only has a few openings per week. Appointments are booked in the order the surveys are received and approved.

Rethink the Impossible,
Theresa Lyons, MS, MS, PhD
The Professor of Healing Autism

PS If you’re serious about making sure all your efforts get results, don’t put off filling out the questionnaire. It just may be a conversation that will give you the missing piece you’ve been looking for.

First Name

Last Name

Phone Number

How did you hear about Dr. Lyons?

Have you gotten the autism diagnosis or are you in the process of getting it?

Are you currently doing anything to heal your child’s autism? If so, what is the most challenging aspect?

Have you tried special diets? Which one? What change did you see in your child?

Are you giving your child any supplements? If so, which ones?

Is your child on any medications? If so, which ones?

Is your child currently taking probiotics or eating fermented foods?

What symptoms has your child healed from already?

On a scale of 1-10 (10=VERY ready), how ready are you to invest in your child’s health on a physical, mental, emotional, and financial level?

What can stand in the way of you investing in your child’s health in each of the above areas?

What is your biggest challenge right now?

What most influenced you to apply for this Autism Strategy Session?

Are you ready to move outside your comfort zone for the sake of your child’s health? If so, why now?