Apply to become a 1:1 Food & Body Image Coaching Client with Corinne Dobbas, MS, RD
Please complete the below, and I'll be in-touch soon. Thank YOU!
Email address *
Name (first, last): *
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Phone: *
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City, State: *
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Age: *
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How did you find me? *
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Why food & body image coaching now? *
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Are you currently struggling with an active eating disorder (i.e. engaging in harmful behaviors, such as bingeing or purging once a week or more, or actively restricting food)? *
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What health conditions - if any - have you been diagnosed with? Or, do you currently have?
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Describe your current relationship with food & your body. *
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What do you want your relationship with food & your body to look like in 3 months from now? 6 months from now? *
Your answer
On a scale of 1 to 10, how important is making peace with food & healing body image issues to you right now? *
Not at all important.
The most important thing to me.
What are you currently doing to support your relationship with food & your body? *
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What's your biggest hurdle when it comes to food & your body image right now? *
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How do you think your life would be different if you had a good relationship with food and your body? *
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Have you worked with therapists, dietitians, coaches, or other healing modalities before? Or, are you currently? If yes, please share about your experience. *
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Is there anything else you'd like me to know?
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Thank you!
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