Diva and the Divine Wellness Coaching Application
Thanks for your interest in working with Diva and the Divine Wellness Coaching 1-on-1. Fill out this form as completely as possible, as the more information I have the better we can determine whether you and I are the right fit to work together.  After filling out this application, you do get access to a free 30 minute 1:1 call with me. 
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Email *
First and Last name *
Gender
Instagram Handle
Age *
Have you tracked your food before? (select all that apply) *
Required
What are the top 3 things you are looking to achieve or shift during our time together? *
Have you noticed any patterns of recurring weight gain and loss in your past experiences with diets? How has this cycle affected your confidence and overall health?
Can you recall any instances where dieting or food restriction led to an unhealthy relationship with food or negative self-perception? *
Are you open to exploring alternative approaches to health and well-being, such as intuitive eating, balanced nutrition, and mindful eating? Why or why not? *
How do you envision your life after making shifts in your approach to food and well-being? What positive changes would you like to see? *
Do you have any health conditions or concerns that might be relevant to our working together? *
Have you ever worked with a coach before? Please share your experience. *
What are your expectations of me as your coach? (no wrong answer. I want to know what you expect) *
On a scale of 1 to 10, how committed are you to investing the time and effort required to transform your relationship with food and well-being? *
I'm not a priority right now
Heck YES, let's do this!
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