1:1 Coaching With Christine Miroddi Yoder

This application for an opportunity to have Christine personally coach you through your challenges is a great way to make fast progress and get information tailored specific to your needs and your family dynamics. Not everyone will be a great fit for coaching, so please fill out the application and we will respond with the next steps if you are accepted. 1:1 Parent Coaching For Parents of Picky Eaters and Providers

Full Name*

First NameLast Name

What is your time zone/ city?*

Direct Phone Number*

Area CodePhone Number

E-mail*

How did you hear about Foodology Feeding?*

Are you a parent or a professional?*

What are your current goals?

What are the problems you would most like help with?*

Why do you want your situation to change?*

Would you say you have an open mind?*

Are you someone who enjoys learning and personal growth?:*

Do you need help with nutrition, supplements, detoxing or additional diagnoses (i.e. autism, sensory processing disorder)*

Tell us about you. What is your schedule like? Career? Lifestyle? Family life? Major Obligations?*

Ever Worked with Coach before?*

YesNoI am a Coach!

If so, how was that experience? Please tell us more:

Do you have time in your schedule to commit to taking action for at least 5-7 minutes per day to improving your situation?*

YesNo

We have varying levels of coaching intensity. Which interests you?*

Standard: One weekly coaching session to keep you on track and ensure you are making consistent progressFlexible coaching: Given an amount of time for the month to use as needed for a fixed rateIntensive: 2 weekly coaching sessions and daily check ins to keep you accountableVIP: On call for the entire month for a fixed rateNone of the above - more interested in courses

If you are invited to join, when are you ready to invest in your transformation?*

Do you need Funding Assistance?*

YesNo

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