Megan Andersen Nutrition Consulting Inquiry Form

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Are we a good fit for each other? Answer the following questions before our 20-minute curiosity call. This information will be kept confidential and will help us both determine the best path for future care.

Email *

Have you ever been clinically diagnosed with an eating disorder? *

Yes, and I am in recovery and relapse prevention as of 5 years or MORE ago.

Yes, and I am in recovery and relapse prevention as of LESS than 5 years ago.

Yes. I am currently in treatment with a team of medical and mental health professionals.

No, but I am concerned I may have an eating disorder.

No. I have never been diagnosed, nor am I concerned I may have an eating disorder.

How many attempts have you made to lose weight through dieting in the past? *

None

1-3

4-6

7 or more attempts

Which of the following are ideal health and wellness goals for you? Check all that apply. *

Sleeping restfully and adequately at night

Eating a variety of foods from every food group

Consistent exercise that I look forward to doing

Eating on a scheduled regimen

Eating regular, well-rounded, satisfying meals and snacks

Emotionally and mentally resilient

Managing a specific health diagnosis (diabetes, anemia, Celiacs disease, high blood pressure, etc.)

Exercise that burns as many or more calories as I consume

Eliminating foods that cause inflammation

Losing weight

Making food choices based on nutrition information and ingredients

Moving freely without pain

Cooking regular homemade meals

Eating a "clean" diet

Feeling hungry more often than feeling full

Feeling full more often than feeling hungry

Consistent peace with my food choices

Experiencing peace of mind/body more often than experiencing stress

Preventing nutrition-related diseases (heart failure, cancer, Type 2 diabetes, etc.)

Eliminating chemicals, additive, sugars, and saturated oils/fats from my diet

Experiencing sustained energy throughout my entire day

Modeling food and body peace to my children

Other:

Required

How much outside support do you have in making healthy behavior changes? *

Little to none

The highest

How confident do you feel in making healthy behavior changes? *

Little to none

The highest

How ready are you to make healthy behavior changes? *

Not ready

I'm already taking action

How willing are you to put weight loss on the back burner while we work to improve your relationship with food and your body? *

Not willing at all

Totally willing

Megan's Services and Nutrition Consulting Packages

Free: Tips for making peace with food and your body AND five family dinner ideas emailed in my weekly newsletter. Subscribe here.
$200: Thirty days of custom meal plans for breakfast, lunch, and dinner. This option is for clients with specific food sensitivities/allergies.
$1000: Eight one-on-one (60-minute) nutrition coaching sessions over 4 months, unlimited access to me on Marco Polo, monthly masterclass, biweekly custom meal plans
$2000: Sixteen one-on-one (60-minute) nutrition coaching sessions over 4 months, unlimited access to me on Marco Polo, monthly masterclass, weekly custom meal plans

Megan's consulting packages require a minimum of a 4-month, $1000 commitment (payment plan is offered). Is this a commitment you can prioritize? *

Yes

I'm here for the $200 custom 30-day meal plan for food sensitivities/allergies

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