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Apply to Maximize Kidney Health Program

The Maximize Kidney Health program is the only kidney program to save your kidneys naturally with guaranteed results. It has proven to help people improve their kidney function and delay dialysis. Learn how to find relief through proper nutrition and holistic natural treatment methods without any pills, supplements, or herbal medicines.

** This program is not for people who are on dialysis ** Please don't fill the application if you are on dialysis.

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Question 1 of 11

What is the stage of your kidney disease?

A

Stage 1 - Protein or Blood in urine. Abnormal Kidneys on Imaging

B

Stage 2 (Mild) eGFR between 60- 89mL/min

C

Stage 3 (Moderate) eGFR between 30- 59mL/min

D

Stage 4 (Severe) eGFR between 15- 29mL/min

E

Stage 5 (Very Severe) eGFR less than 15mL/min

Question 2 of 11

What is your age?

A

20s-40s

B

50s

C

60s

D

70+

Question 3 of 11

Where are you located?

Question 4 of 11

List any medical problems you have?

Question 5 of 11

Tell me about your kidney disease

(When were you diagnosed? , Cause? etc)

Question 6 of 11

Describe your goals in detail.

Tell me about your health vision and mission. Tell me what do you expect to gain out of this program.

(The more details you give the better chances are your application will be accepted)

Question 7 of 11

Describe your daily routine?

Question 8 of 11

List your medications /supplements

Question 9 of 11

What is your Biggest Challenge related to Kidney?

(The more details you give the better chances are your application will be accepted)

Question 10 of 11

Where did you find me?

A

Google

B

Facebook

C

Referred

D

YouTube

E

Other

Question 11 of 11

Why is now the right time to commit yourself to this Maximize Kidney Health program?

(What have you tried in the past?)

Confirm and Submit