Application for 1:1 Support

1
Please only apply if you're at least 18 years old* This field is required.
Vorname
Nachname
2
Contact* This field is required.Please share your E-Mail address, so I can come back to you
3
Tell me about yourself. What does your life look & feel like right now? * This field is required.How would you describe your relationship with food & your body?
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4
What is the biggest obstacle or challenge you are currently trying to overcome??* This field is required.
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5
If you are in a “complicated relationship” with food:* This field is required.How does this play out in your day-to-day life? How is this impacting the quality of your life?
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What have you tried to solve this?* This field is required.Why do you think this did not work? What changes do you have to make now?
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7
What vision do YOU have for your life?* This field is required.What would it feel like to make this your (new) reality?
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8
How will working with Jenni bring you closer to the life of your dreams?
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Are you truly ready to step into your highest self?* This field is required.And to invest into yourself?
Hell yes
No, but I will make it work
Not right now
10
Have you been diagnosed with an eating disorder?* This field is required.
YESNO
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