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Health Coaching Application
After you fill out this application, I will contact you to go over details and availability. If you have any questions, please email
sarasunflowerhealth@gmail.com
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What are your main body, food, and health concerns?
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Your answer
How long have you been feeling this way?
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Your answer
How is your relationship with food? Do you diet, track food, avoid any foods, etc? Have you ever had a disordered relationship with food?
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Your answer
How is your body image?
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Your answer
What are your health & life goals?
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Your answer
Imagine you've healed your relationship with food, movement, and your body: what does your life look like now?
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Your answer
Contact info
How can I reach you?
Your name
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Your answer
E-mail
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Your answer
Instagram handle
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Your answer
Monthly budget for coaching (how much $ are you willing and able to invest in healing?):
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$200-$500
$500-$1,000
$1,000-$2,000
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Questions or comments
Your answer
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