Waitlist Application
Thank you for your interest in working with me and joining my program!  

I teach women how to move away from lifelong struggles with dieting and disordered eating habits toward a life that includes physical, emotional and mental well being around food and their bodies.  

When we work together, I show you how to respect and work with the body you are in today so you can enjoy body neutrality and food without guilt.

I accept a limited number of women into this group program which is why I am not enrolling new clients at the moment.  Apply to join my waitlist today and I will reach out to let you know when I start enrolling again.

It'll be pretty soon so hold tight!

Xx

Dani
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First Name *
Last Name *
Email Address *
Phone Number *
How did you hear about me? *
What are your top three biggest struggles when it comes to eating/food? If you struggle with binge eating or emotional eating how often do you engage in these behaviors a week? *
What attempts have you made in the past (programs or self-help) to work on these struggles? *
What are you looking to achieve/improve by working with me? *
How many years have you been dieting to try and lose weight in any way, even on-and-off? *
Why do you think my program is right for you? *
My program was created to improve your mental, emotional and physical well being around food and your body image.  Do you want to learn to eat for your wellbeing while still allowing yourself to enjoy food? *
If concerned about body weight or size, are you ready to work together to accept the weight or size you can maintain effortlessly without dieting? *
I offer flexible payment options to work with me and I require a three month commitment.  If you're a good fit, are you ready to commit and get started? *
By submitting this form, you will be added to my mailing list.  You may unsubscribe at any time *
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