Schedule a CallFill out this brief form & Nicole will be in touch soon to schedule your free discovery call. Name * First Name Last Name Email * Phone * (###) ### #### What prompted you to reach out at this time? * How has your life been impacted by your current health and nutrition concerns? * What have you tried to address these concerns? For example - dieting, supplements, other nutrition programs, working with other practitioners, etc. What do you think has kept you from being successful at accomplishing your goals? * What are your top health and nutrition goals for the next six to twelve months? * Please be as specific as possible - your relationship with food, body image, lifestyle habits, working on specific lab results, specific symptoms you want relieved, etc Do you believe that it is possible for you to reach your goals? Absolutely! I think so… No, I don't. Will there be any other individuals involved with the decision making process that will need to be on our discovery call? * Yes No This program uses a non-diet, Health at Every Size approach to dismantle unjust systems, heal from the mental and physical exhaustion of dieting, and provide multi-dimensional support in all areas of health. This requires both an energetic and financial investment from you. How ready are you to invest in improving your health right now? Our 1:1 program has a minimum of four months. This investment is $2000 in total. Payment plans are available. Yes, I’m so ready! I’m ready, but want to chat about it further. I’m ready, but I can’t invest right now. Is there any other information you would like me to know before our call? Thank you!
