Discovery Call Application

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Kia Ora, Welcome to the begining of your healing journey.

I am honoured that you have chosen Life Beyond Body Size as your getaway to life in Food and Body freedom. We guide & empower women who struggle with eating, health, weight cycling or difficult body relationship towards a life lived in food freedom, healthy body and happiness.

Life Beyond Body Size is a self-care mentorship for women and their families and is unique to work of other clinical nutritionist or dietitians. Here, we heal your mind to heal your body.

LBBS is weight inclusive and grounded in Intuitive Eating®, Eating Behaviour and Body image Therapy and Health at Every Size®.

Please make sure your application is filled out in full so that we can find the best fit for your needs.
We will be in touch to schedule your Initial consultation if LBBS is right fit for you.

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If our consultation is already scheduled you will recive a confirmation email within the next 48h after submiting your form quiry Form

Email *

What is your full name? *

Do you have a clinically diagnosed eating disorder? *

Yes

What brought you to the application today? What is your WHY? *

What interests you most about working with VeraPrazak? (you may select multiple) *

Having someone to guide me through challenging time

I know I need someone by my side 24/7

I am ready to give up dieting but I feel scared to do that.

I want to be part of group of women going through the same as me

I need private support

I was told to lose weight by my physician, I need your help.

I need to change my relationship with my body

I am interested in family therapy to help me raise intuitve eaters

My child has eating problems I need help.

Required

How would you best describe your experience with Intuitive Eating? *

I have never heard of it.

I have heard of it, but haven't seen much other than some posts on social media. I am VERY interested in learning more.

I am familiar with the 10 principles and have read a lot of Intuitive Eating resources.

I feel like an expert in Intuitive Eating but am having trouble applying the framework to my life.

Required

Your Relationship with food and Body

Please fill out if this application is about you.

Are you feeling 'out of control' around food?

Yes

Clear selection

Do you experience guilt or shame associated with eating some or all foods?

Yes

Clear selection

Are you tired of having a poor relationship with your body & speaking negatively towards yourself?

Yes

Clear selection

Would you like to crate healthy habits without obsessing about food, calories, macros, what to eat/what not to eat and ready to enjoy your life again?

Yes

Clear selection

How many fad-diets have you tried in your lifetime?

I don't diet but I do follow some food rules (ex: lower carbs, don't eat after _PM, restrict certain foods, etc.)

I have dabbled with a few

I have been dieting since my teenage/college years

My parents put me on a diet as a child and I have been dieting ever since then

Which of these describes your relationship with food?

Pleasant

Neutral

Unpleasant

Explain your answer from above - why did you choose that word to describe your relationship with food?

Which of these describes your relationship with your body?

Pleasant

Neutral

Unpleasant

Explain your answer from above - why did you choose that word to describe your relationship with your body?

Which form of support are you interested in?

Initial consultation for myself or my family ($165.00 NZD)

Food Freedom For life 12-week LIVE group coaching program (waitlist open now)

Food Freedom for LIfe, SELF-STUDY program (waitlist open now)

Free form Emotional Eating 5 day course

Complimentary Introduction to Intuitive Eating Mini Course (Free)

Clear selection

Family Feeding Therapy

Please fill out if this aplication is about your child/ children or family eating.

What challenges are you experiencing with your LO eating?

In which area do you seek help?

Starting Solids

Picky Eating

Teenage eating challlenges

Body image

Disordered eating

Weight challenges

Specific nutritional advise

Vera will help you more than "manage your health problems or weight" she will help you to find food freedom, improve your health, overall wellbeing and change your relationship to food to achieve life-long positive changes to your body, health and life. Are you ready to have Vera supporting you on this journey and insvest in yourself?

Investment for the Initial consulatation is $165.00 NZD.
Life Beyond Body Size Mentorship payment plans starts at $99.00 NZD p/w
Food Freedom For Life LIVE group program (waitlist open now)

Food Freedom for life SELF-STUDY program (waitlist open now)
Free From Emotional Eating 5 day course (starts at 111.00 NZD)

Yes, I would love to book an initiall consultation for myself or my child/family.

I would love a complimentary discovery call to find out more about your services and what's the best approach for me.

Yes, I want to work with you privately in LBBS Mentorship program.

Yes, I want to be put on waitlist for your LIVE 12 week group program Food Freedom For Life.

I want to start Self-Study Food Freedom for Life program right away.

I am interested in Free From Emotional Eating 5 day course

No, I will wait a bit longer.

Required

How did you find me? *

Facebook

Instagram

Recommendation

Other:

Thank you for submitting your application I will be in touch shortly.

Send me a copy of my responses.

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