Name* First Last PhoneEmail* What are your current goals for your relationship with food?*What is the #1 biggest obstacle holding you back from achieving these goals on your own?*What have you tried in the past?*Why haven't you achieved your goals? (To the best of your knowledge)*On a scale of 1-10, how COMMITTED are you to achieving your goals?*What do you want my help with over the next 3-6 months?I want to stop the diet-binge cycle and have a normal relationship with foodI want to lose weight without counting a single calorie, carb or fat gramI want to feel more confident and less self-consciousAll of the above. I want to have all three in a way that feels achievable while continuing to feelIf we were to work together, on a scale of 1-10, how willing are you to taking my expert guidance and advice and implementing it?*If you are accepted, how soon can you get started?*Financial resources:*I have the financial resources right nowI can generate the financial resourcesI don't have the financial resourcesFinally, what makes you different from the other applicants, and why should I choose to work with you?*CAPTCHA
