Private Food Therapy Application
Thanks for your interest in private consulting with Bri Towne, MS of Verdure House! 

Please complete the following application to begin the process. 
Note that submitting an application does not guarantee you'll be able to work with Bri. We only accept clients who are a perfect fit for what we offer at Verdure House. If you're not a great fit, we'll do our best to find someone in our network that will be a better fit for you.
Sign in to Google to save your progress. Learn more
Email *
Name *
First and last name
Email *
Phone number *
If I could wave a magic wand and grant any wish, what 3 would you wish for? *
Required
Our programs are for those are serious and ready to do the work that's required to heal their relationship with food & their body, which includes a time, energy and financial investment. Are you ready to make this commitment?

Investment as follows:

Food Therapy
4 months partnership
Initial consultation (90mins)
Bi-Weekly Follow-Up (50mins)
M-F unlimited Voxer coaching
$550/month

Deep Dive
1 deep dive session (90mins)
3 weeks unlimited Voxer coaching
$335

Corrective Exercise
Initial consultation (60mins) $85
As-needed follow-up sessions $50

Hypnotherapy
Intake session (90mins) $325
Follow-up sessions (60mins) $245

*
Required
I understand that this is not a weight loss program and that Bri Towne is a weight-neutral coach practicing Health At Every Size. While it’s common to lose weight in our programs, it’s not the primary goal. *
Required
From the options below, please select what you feel you need the most support with *
Required
What do you think will happen if you don't get support and do this work? *
How long have you struggled with your relationship to food and your body?
If you have any questions for Bri or about working together please list them below
How did you hear about VH? *
Required
If you were referred by a friend, please fill in their name so we can thank them!
On a scale of 1-10 (10 being 'let's start yesterday!') how ready are you to get started? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Brianna Towne. Report Abuse