Ready to Work Together?

Please fill out this application below and I'll reach out shortly to schedule our initial call. Thank you

Application Form

Full Name

Email

Phone

Instagram Handle

I engage in / need help with:

stress/emotional eating

normal /balanced eating

portion control

how to quit dieting

skipping meals

general healthy eating

binge eating

PCOS/endometriosis

prediabetes/T2DM

high cholesterol/blood pressure

What does your dream life look like in regards to your eating habits?

How would living your dream life impact your daily life? ie friends, family, mental health, relationships, confidence, self esteem etc

The goal of my programs are help you stop thinking about food, stop second guessing yourself and help you feel confident in your food choices. This is not a weight loss program but you may lose weight as a result of the changes you make.

I understand

Due to the intensive nature of my program, this is both an investment of your time and resources. How ready are you to make changes right now?

very ready

somewhat ready

not ready

On a scale of 1 to 10, how motivated are you to reVIVE your life and mindset? 1 being not motivated and 10 being very motivated.

Thank you for your application! I'll be in touch soon.

Phone

519 562 0467

Address

Tecumseh ON

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