1:1 Coaching with The Endo Dietitian: Application Form
Please take a few minutes to complete this application form so that I can get to know you
and understand how I can best serve you inside one of my endometriosis nutrition coaching programs.From there, if you're a good fit to work with me, you will be emailed and offered a free 15 minute discovery call.

Appropriate candidates will be contacted in the order in which they are received to book a call with founder, Stefanie Valakas APD.

Open to clients globally, time zone for appointments are for Sydney, Australia time (GMT+10).

Don't forget to check your junk mail - our responses often land in there!

Current wait times (subject to your and practitioner availability): up to 4 weeks

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Email *
Full Name *
How old are you? *
Where do you live (include country)? *
What is your occupation? *
How did you hear about The Dietologist? *
When it comes to managing endometriosis, what's your biggest challenge or frustration? *
What's the one thing that your endometriosis is holding you back from doing right now? *
If it meant achieving your goals, how are you currently placed to financially invest in your health and fertility? (All in AUD) *
How soon would you like to start working with me? *
By submitting this form, you may be added to my email list, where you get exclusive offers, discounts and information. You may unsubscribe at any time. *
Required
I acknowledge this is a time slot allocated to me and if I cannot make this I will let us know in advance (48 hours notice is ideal) so the time slot can reopen for our wait list. Should you fail to provide adequate notice or not show up for a discovery call, you may lose the right to future calls or services at our discretion. *
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