Freedom with Food & Body Confidence
Please fill out this form, to Apply for a Complimentary Discovery Call. You will learn more about Marla's Programs and receive a coaching/healing session.

I will review each questionnaire personally to ensure that you're someone we can really help. 

(We don't want to waste your time if it's not a good fit for our expertise).

If it's a match, we'll email you to schedule a time for your Session as soon as possible.

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Email *
Name and Email *
Why are you interested in a Freedom with Food & Body Confidence Session with Marla?
What is the #1 challenge do you have with your body image?
What are you biggest struggles with Food?
What is your deepest desire as it pertains to your relationship with food / body? *
Have you been diagnosed with an Eating Disorder past or present? If so, please elaborate. *
What do you believe is holding you back from having the relationship with your body and food that you desire? *
If you have challenges with food, what does it look like? Check all that apply
What are your biggest life's stressors?
What kinds of Personal Growth & Spiritual Studies have you done? For example, yoga, therapy....etc. *
On a scale of 1-10 how ready are you to invest time, energy and finances to receive support to making lasting change? *
How soon would you like to transform the challenges you mentioned above? *
If you are selected to receive a session with Marla, what is the #1 thing you'd like to receive from it?
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