Intuitive Eating Group Coaching Intake
Intuitive Eating for OCT-NOV 2023
Name
First Name
Last Name
Email
example@example.com
What do you hope to gain from this course?
Freedom from dieting
Decreased stress
Increased self-confidence
Increased body positivity
Knowledge
Decreased emotional food ties
New practices and tools for eating
Accountability
Other
What do you currently know about Intuitive Eating?
From 0-10, how open/flexible are you to a new way of eating?
From 0-10, how optimistic do you feel about your ability to eat intuitively?
How would you define success at the end of this program?
Do you currently struggle with an eating disorder?
Yes
No
Would you like to be enrolled to WIN this next round of Intuitive Eating group coaching for FREE?
YES!
No, I'll pass for someone more in need.
Which evenings would you be available weekly for 75-90 minute in-person group discussion? (include ALL, ie. Tu & Th 5-8pm, Sun 4-9pm)
Submit
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