If you're interested in working with me, follow these steps:
1. Take 5-10 minutes to fill out this application
2. I'll reach out to you within 1 business day to discuss your struggles/goals, answer any questions you have and see if my program would be a good fit!
Click the button below to start.
Question 1 of 15
Name (first and last)
Question 2 of 15
Are you 18 or older?
Yes
No
Question 3 of 15
Where do you live? (State, Country)
Question 4 of 15
How did you find me?
Question 5 of 15
What is your main struggle right now that you are looking for my help with?
Question 6 of 15
If your main struggle is binge eating, please describe what a binge looks and feels like to you (if not, just write N/A).
Question 7 of 15
Briefly tell me about your history with food, your weight, and fitness.
Question 8 of 15
Briefly explain your history with your period, hormonal health, and birth control use (the pill, patch, or shot, hormonal IUD or copper IUD, fertility tracking, etc.)
Question 9 of 15
What have you tried (if anything) to try to overcome your main struggle? (ex: therapy, other dietitians, coaching, supplements, medication, books, diet approaches, etc)
Question 10 of 15
How does your main struggle affect your day-to-day life? (i.e. relationships, work, fitness goals, quality of life, mental health, physical health, etc.)
Question 11 of 15
What does life look like if you overcame this struggle?
Question 12 of 15
In 6 months from now, what do you want your relationship to food, fitness and your body to look like?
Question 13 of 15
When a spot opens for you, will you be ready to start making progress towards finding balance with food and fitness and/or regulating your period naturally?
Question 14 of 15
The investment for this coaching package is $2997 (or 3 payments of $999 per month). Are you currently ready and able to invest in coaching?
Yes! I can commit to $2997 paid in full.
Yes! I can commit to a payment plan of 3 payments, $999 each, per month.
No, I'm not able to invest right now.
Question 15 of 15
Instagram Name (I'll DM you to chat about your application! Or let me know your preferred contact method)