Please fill this form out and Asha will connect with you to schedule your call.
I look forward to helping you decrease the anxiety of keeping your kids with food allergies safe and improve your quality of life.

Keep in mind there are no "right/wrong" answers to the questions below. This is a quick way for me to gain some info about your struggles and goals so we can have a productive phone call.
Name *
Address (street, city, state, zip)
Email (please use email you plan to use during coaching if accepted) *
What food allergies does your child have? *
Have they had anaphylaxis? *
When were they diagnosed by a doctor? (year is fine, doesn't have to be exact date...) *
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What is your biggest obstacle that you face when dealing with food allergies? *
What is your goal in pursing coaching? *
Do you understand I will not be giving medical advice or promising to cure your child of their allergies? {ONLY lifestyle/health advice is my expertise.} *
Name one previous success you've had! (this could be job related, accomplishment related, or just tell me a story about a time you worked really hard toward a result) *
Have you ever purchased any products to make life with food allergies easier? (pre-made safe foods, expo tickets, attended conferences, etc.?) . If so, which ones? *
Are you willing to invest a bit of time (8 weeks) and money in yourself to work for the result of decreasing your anxiety surrounding keeping your kiddo safe from their allergens? *
Do you have any questions for me? *
Is there anything else I should consider before accepting you do this coaching program? *
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