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Complete Your Application.

Please take a minute to complete your application so I can learn more about you and see how I can help you break the cycle of binge eating. Make sure to provide as much detail as possible since I'll be using your application to determine if we'd be a good fit to work together one-on-one! 

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Question 1 of 7

What is your full name? 

Question 2 of 7

What is your preferred email address?

Question 3 of 7

What is your phone number?

Question 4 of 7

What is your country and time zone? 

Question 5 of 7

Where did you hear about us? 

Question 6 of 7

Describe your top goal(s) for the next 3 months in detail. i.e. What do you want to achieve as it relates to your health and fitness? What do you want to look like? What do you want to feel like? What are you struggling with? What are you looking to overcome? 

Question 7 of 7

Why do you think we'd be a good fit to work together? 

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