Transformation session intake form

I’d like to get you know you…

Your story is valuable, and I’ll listen without judgment, so please take some time to answer the questions before submitting your response.

I’m looking forward to supporting you.

Your name

Your email

Your phone number

What’s your relationship with food and your body currently like?

How long have you been struggling with food and your body in this way?

How does your relationship with food and your body affect other areas of your life? (Relationships, Career, Parenting goals, etc.?)

How have you tried to resolve these issues in the past?

What exactly are you looking to change via coaching?

Why do you want to achieve those things?

What do you think are currently your 3 biggest obstacles that are stopping you from achieving your goals?

What makes NOW a good time to work on your goals?

On a scale of 1 to 5, how ready & willing are you to change your relationship with food & your body? (with 1 being not at all & 5 being 100% ready & committed.

Transformation session intake form

I’d like to get you know you…

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