Counseling Application

Currently, there is a 3-6 month waitlist for private and group counseling. Please use the following form to submit your information to join the waitlist. You will be contacted as soon as availability opens. For any other inquiries please use the second form on this page.

Name

First Name

Last Name

Email

Areas of Interest:

Private Coaching

Group Coaching

What is making you interested in transforming your nutrition?

Have you worked on your nutrition before? If yes, how so?

On a scale of 1 to 10, how ready are you to create change in your life? (1 = completely closed off and 10 = willing to do anything)

What becomes possible for you if your health goals are reached?

Are you prepared to invest time, energy, and resources into yourself to achieve deep transformation?