Coaching Application
Hey there Gorgeous,

I'm so excited that you're showing an interest to join my program! I have a couple of questions to see if we would be a good fir to working together. I'll reach out to you to chat about the next steps to having a binge free life soon.
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Email *
First & Last Name *
Phone Number *
Where did you find me *
What is your Instagram handle or Facebook profile name? *
What prompted you to reach out for help? *
Have you worked with a Dietitian or nutritionist before?
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What is your main goal? *
My coaching uses a non-diet approach focusing on honoring your body's hunger & fullness signal, building body trust around food, and healthful behaviors. We do not use diet plans, calorie counting, or any diet tools including weight & BMI. Are you ready to hear about this approach? *
What is the biggest challenge you are facing right now regarding food and your body? *
How motivated are you to heal your relationship with food & your body so you can stop binge eating? *
Not motivated
Highly motivated
Are you willing to make a financial investment in your health that will give you a life free from yo-yo dieting, binge eating and poor body image? *
Is there anyone else involved in the decision-making process to work with me? *
If we decide that we are a good fit to work together, are you ready to commit today? *
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