Becoming an Intuitive Eater - Waitlist/Interest Form
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Email *
Name *
Do you have an active, clinically diagnosed eating disorder? (Please note I do not work with individuals that have an active ED.) *
Do you have a history of any eating disorders? If so, please explain here: *
Have you dieted in the past? If so, how many diets have you been on? *
Do you feel guilty eating certain foods? *
What is your biggest challenge when it comes to food? *
Do you currently use/engage in any of the following? *
Required
How would you describe your current relationship with food? *
Which of the following do you currently struggle with? *
Required
Do you have any other health concerns you are currently navigating? If so, please explain. *
How would you describe your body image? *
Do you wish that you could just "eat normally"? *
Do you wish you could eat without guilt? *
Are you ready to give up dieting for good and eat the foods you love? *
How familiar are you with Intuitive Eating? *
On a scale of 1 to 10, how ready are you to get started and pursue a life of food freedom? *
Not ready at all
All in!
Coaching is an investment in yourself. Knowing that you'll acquire the tools you need to eat without guilt and never diet again, are you ready to invest in yourself? *
I understand this is NOT a weight loss program *
Required
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