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Email Address *
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What is your number one struggle when it comes to loving your body?*
If other, please explain:
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How long are you willing to invest in working towards your goal?*
What patterns if any, that you keep repeating despite wanting to change them?*
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Have you ever invested in a coach or mentor that will help make your dreams a reality?*
HEALTH DISCLAIMER: Certified Eating Psychology & Mind Body Nutrition Coaching is not intended to treat, cure, or prevent any disease or illness. The information provided before, during, and after this session,  coaching program, one-site and virtual coaching sessions, workshops, programs, classes, podcasts, my website, social media, groups, and products is intended for educational purposes only, not as medical advice. Always check with your health care provider, practitioner, or doctor before changing your diet, eating,  rituals, or health/care program.
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If You are a returning client, please upload a copy of your Long Intake form: 
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Submit Form NowPlease note due to the nature of our work and schedule, we do not accept everyone's application/intake form.  Allow 24-48 hrs for reply.
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