Private client application with Rachel Foy
Working with me 1:1 is not for everyone and I'm very clear on who I know I can help. Your responses to the following questions will enable me to find out whether this is a great match for both of us.  It is vital that you are completely honest.  All information is private and confidential

Your data is safe with me and will only be used for this purpose. By filling this in you are giving me permission to contact you personally about this. Please go here to see our privacy policy www.soulfedwoman.com/pp


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Email *
Name *
What's your occupation or business?
Do you have a diagnosed eating disorder? *
Do any of these apply to you? If so please select. *
How can I help you improve your relationship to food?
How is this issue affecting you in your personal/professional life? How is it showing up?
How long has this been an issue for you? When did it start and, where applicable, was anything happening around that time?
Is weight loss of importance to you? If so, can you tell me why?
What would be your ideal outcome in working together?
Why is now the right time to address all of this?
I work very holistically and your current state of health is also important. Please tick any of the following conditions you have had in the past or you currently have
Do you take any medication and if so, which kind and for what?
How stressful is your life at the moment?
Very calm
Constant panic + overwhelm
Clear selection
In what ways is life stressful at the moment?
Have you ever worked with a coach/mentor/therapist before around food, eating, weight?
If 'yes' how was your experience?
Why do you want to work with me specifically?
I give my fullest support and professional expertise to my private clients. It's important that you are ready, committed and fully prepared to take responsibility for the time we spend together. How important is this for you? *
Not that important
I'm fully ready and committed to do this!
If this is a suitable program based on your application how soon are you ready to start? (note: I can't always guarantee an immediate start depending on new client places being available) *
What payment option would work best for you? *
Do you agree to show up for our calls as arranged, do any homework given in-between the sessions, respond to my check in messages and take full responsibility for yourself during our time together? *
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