Application Fill this out: Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *AgePronounsWhy do you want to work one-on-one with a coach/dietitian?What led you to reach out? What are your goals?What are your biggest challenges with food, eating, your body, and/or movement?Are you willing to unlearn previous beliefs, challenge unhelpful thoughts, and try new things?Yes!Probably notNo, thanksDo you relate to any of these? (Select as many as apply to you)I feel powerless around food.I struggle with poor body image.I have preoccupying thoughts about food and my body that interfere with my life.I often eat emotionally or binge and feel bad about it.I want to be healthy but don't know how to get there without dieting or restricting.I have a hard time understanding and honoring my body's cues (like hunger and fullness).I feel guilt or shame after eating.I want to feel less stress, anxiety, and chaos around food.I have certain foods that I don't allow myself to eat, but I want to feel ok eating all food.I miss out at times because I am worried I'll eat the wrong foods or not be able to exercise.I feel like I need to lose weight to be healthier.Which package are you interested in? *Three months - 7 sessions $1350Six months - 14 sessions $2700Can be billed monthly for $475/month.Submit