New Client Weightloss Tapping Form
Here is the form to fill out before our first session together. Everything shared in this form is 100% confidential and only shared with Leanna, owner of Huntress Coaching. If the form is not completed, this will result in losing your session slot. Please take time to answer to the best of your ability.. and always put the answer that comes to your mind first... even if it doesn't make sense or you aren't sure if it ever really happened that way.

I am very excited and humbled you have decided to dive into understanding that your relationship to food is deeper than your willpower! I hope this can bring you some much needed peace.. that you are enough right now and always have been to create healing with your past and allow you to step into your life as the version of yourself you have always envisioned!

If this form triggers any past emotions, just remember you are safe, you are amazing and soon you will see the power that comes from letting these go!
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Email *
What is your name: *
What is your cell: *
What is your birthdate *
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How old were you when you became conscious of your weight?   *
Do you remember any specific life events connected to weight gain? *
How much weight do you feel you need to lose? *
Which foods are hardest to resist?  Can you keep any of these foods in your home? *
If you answered yes to the above question.. Do you remember specific times you ate these foods growing up?
Can you remember anyone commenting on your weight throughout your life? *
What were your parents attitudes about weight when you were growing up? *
Were larger family gatherings with food common during your childhood? If so, what can you remember about food at these celebrations? *
On an average day, what do you typically eat throughout the day? *
Are there things throughout the week you eat connected to a specific day or time? Like.. we always have...... on Friday night. *
Which negative emotions come up if you go too long without eating or while you're dieting? Ex.. anxiety, stress, fear. *
Do you have specific times of day you tend to overeat, no matter what your intention or meal plan was when the day started? *
Have you ever reached your goal weight before? If so, how long did you keep it off? *
Does food ever feel like protection against not allowing yourself to truly "feel" or share your emotions? If so, what emotions do you think you are trying to protect? *
What is the downside of you losing weight?  Examples: Is the extra weight providing protection? Does it feel safe to carrying extra weight? *
What is the upside of being overweight?  Examples: Does it keep attention off you? Does it mean you don't have to show up a certain way? Does it lower others' expectations of you? *
If you weren't spending so much energy on your weight, what would your life be like? *
What was your relationship like with your dad or the dominant male figure that raised you? How did you respond to him growing up? *
What was your relationship like with your mom or the main female figure that raised you? How did you respond to her growing up? *
Have you experienced any sexual abuse? Sexual abuse can even be any "sexual" phrases and/or conversations said to you that impacted you negatively... also others criticizing your body in any way or making you feel uncomfortable about your body. *
If you answered yes to the last question and are comfortable sharing it here, please do. If not, we will cover this in our first session.. whatever you are prepared to share is fine! *
Is there anything else you would like me to know before our session together? *
If you were writing in your journal in six months about what has positively changed in your life since you started coaching, what are three things you would write down? *
DISCLAIMER:     You are responsible for keeping your appointment time! If for any reason, you need to cancel, you will need to let Leanna Hunt know within at least 24 hours before needing to cancel to avoid the $40 cancellation fee by emailing her at hello@huntresscoaching.com. By agreeing to this discolusre, you are agreeing to taking full responsibility for your own health, safety, and happiness. Only you can make the right choices for your highest good and the outcomes you desire for your life. You agree that the use of any Huntress LLC content and your participation, including this session and any further sessions are at your sole risk. You agree to site Huntress LLC and Leanna Hunt any time you share her material and can not at any time use her material for your own financial gain including coaching clients, friends or social media followers without her written consent. You agree that the program and any sessions are sold “as is” and that Huntress LLC makes no warranty of any kind, express or implied. Huntress LLC further disclaims any implied warranties. Huntress LLC and Leanna Hunt will do their best to keep the website and paid client site running consistently and optimally. Please communicate with Huntress LLC promptly if you encounter any issues with the service. Huntress LLC makes no promise or guarantees that the website will always be running or that content on the website will always be operating as intended. Leanna Hunt is not a psychotherapist or a licensed medical practitioner. Leanna Hunt does not promise or claim to treat, diagnose or cure any physical or medical condition. Seek licensed medical advice as needed.No claims are made about guaranteed weight loss of any kind. This coaching is designed to help users eliminate  their food cravings and weight-loss-barriers. Any weight loss is a by-product of committing to the program and/or sessions with Leanna Hunt. My certification is with Brittany Watkins and Brittanywatkins.com where the basis for this form was created along with the foundations of my EFT techniques. *
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