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Intuitive Eating Foundations - Alison's Online Intuitive Eating Group Program - Fall 2020
Thank you for your interest in my online intuitive eating group program, Intuitive Eating Foundations!

I am so excited to bring you this program! I am in the planning phases and want to deliver the best possible program to YOU, a potential participant! In order to do this, I created a brief survey (below) that I'd love for you to fill out.

This survey will give me an idea of where you are in your intuitive eating journey and what type of help you are looking for specifically.

THIS IS NOT THE OFFICIAL REGISTRATION: By filling out this form you are expressing interest in participating in the group program and will be added to the Intuitive Eating Foundations waitlist.
SO... you will be the first to get registration information, an early bird discount offer, and all the details!!

A little about me  ...

I am a registered dietitian and certified intuitive eating counselor trained by Evelyn Tribole, MS, RD, one of the co-authors of the book Intuitive Eating. This program is based on the Intuitive Eating book and workbook, in conjunction with strategies that I use with my 1:1 private practice clients.

If you have any QUESTIONS please email me: Alison@alisonbarkman.com 

There is also a question below where you can request to schedule a free 20-minute call with me to chat about your needs, goals, and how we can best work together.

Thanks and I look forward to learning more about you!
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First and Last Name *
Cell Phone Number - I have had my emails go into people's junk folders before so I'm asking for your cell number as a backup! *
What are you struggling with the most at this time? *
Are you familiar with Intuitive Eating? *
If you answered YES to the previous question, please explain what work you have done so far with intuitive eating. For example, have you read the Intuitive Eating book, worked on the workbook, listen to podcasts or read blogs about IE, etc.? *
Are you currently working with or previously worked with a registered dietitian, therapist, or coach on intuitive eating, disordered eating, or an eating disorder? *
An ideal group program for me would focus on: *
Required
What do you hope to achieve after working through my online, group program? *
What would be your preference for an online group program? (Check one or as many as you'd like) *
Required
If the program includes live 1-hour group sessions via Zoom, what day/time ranges would you be available to attend? Check all that apply. (Please note, I'm in NY so times are in Eastern time zone) *
Required
Is there anything else you'd like me to know about your current situation with chronic dieting or disordered eating? Or any other questions you have about my program? *
Would you like to set up a free 20-minute call with me to discuss your current relationship with food and how we can work together to reach your goals? *
If you answered "Yes" to a call, please re-type your name and email below. You will receive a link to my calendar via email to set up a call!
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