Enrich, Nourish & Love Program Application Form
I am so glad that you are here. By filling out this application I can see that you are ready to take back control of your emotions and your life.
I am committed to helping you uncover the real reason you turn to food for comfort, we will dig deep and you will discover things that will take you to a deeper level of awareness within yourself.
You must be open and honest with yourself throughout the Enrich, Nourish & Love Program and be committed to create real change within your life.
I only take on a limited number of women per program so that I am able to offer personalised guidance where you need it. Once I have received your application I will be in contact with you to arrange a 60-minute clarity coaching call. During this session I invite you to come prepared with any questions you may have, this gives us the opportunity to see if we are a good fit working together.
I look forward to hearing from you
Tell me about yourself:
Is emotional eating, or weight a concern for you? If so, please describe your current situation. What have you tried in the past?
Are there certain situations that have you reaching for food?
What would your life look and feel like if you were no longer controlled by emotional eating?
How motivated on a scale of 1-10 (with 10 the highest and 1 the lowest) are you to invest your time and energy to reach this goal?
Is there anything else that you would like to add?
Do Not Fill This Out