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CLIENT APPLICATION FORM

Please complete this application form in order for me to access if you are a good fit for the Craving Food Freedom 1:1 Coaching Program

Click the button below to start.

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Question 1 of 8

I am over age 18 and am of sound body and mind.

A

Yes

B

No

Question 2 of 8

What would you need for this year to be the year you healed your relationship with food and your body and learned to eat intuitively? 

Question 3 of 8

What is biggest pain points with your eating, food and your body currently?

Question 4 of 8

Where do you want your relationship with food and your body to be in 12 months from now?

Question 5 of 8

What is the biggest hurdle in the way of you creating this?

Question 6 of 8

Are you willing to invest in growing yourself should you feel we're a great fit and can support you to create the life of food freedom you're dreaming of?

A

Yes I am able to invest in myself

B

I'm willing to the resources to invest in myself

C

No, I am not

Question 7 of 8

How did you hear about my coaching program?

A

Instagram

B

Facebook

C

Podcast

D

Referral

E

Google

Question 8 of 8

Are you ready to stop food fear and guilt so that you can eat effortlessly and intuitively? 

A

Hell yeah I am ready!!! Let's do this!

Confirm and Submit