What is your name?

What is your email address? 

What interests you most about The Anti-Diet Plan with Individual Coaching Sessions?

What do you hope to get from The Anti-Diet Plan with Individual Coaching Sessions? What are your goals for the coaching? 

What are your biggest struggles around food and body? 

Are you currently struggling with, been diagnosed with, or in treatment for an eating disorder such as anorexia nervosa, bulimia nervosa, avoidant and restrictive feeding disorder (ARFID), binge eating disorder, or other? 

While an eating disorder is not necessarily a contraindication to participation in the program, coaching is not a treatment for an eating disorder. If you are in treatment or in the acute phase of an eating disorder, we ask that you speak to your treatment team to see if this program could be a good supplement to your treatment.

If you are currently struggling with an eating disorder, we can discuss this further in a discovery call and decide together if the program could be a good fit. 

Are you currently able to commit between 1-2 hours per week to The Anti-Diet Plan with Individual Coaching Sessions?

Are you currently willing and able to make a financial investment of at least $1200 for The Anti-Diet Plan with Individual Coaching Sessions program? 

What is your schedule like and what days and times would you be available to attend coaching calls? Please be sure to include your time zone! 

Is there anything else you would like me to know? Do you have any questions for me? 

How did you find out about The Anti-Diet Plan with Individual Coaching program?