Group Program Application
Group programs are limited to 5 individuals.
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Describe your relationship with food
Describe your relationship with exercise
I exercise because I enjoy it
I exercise because I feel like I HAVE to
I like to burn calories so I can eat more
Exercise is punishment
Are you willing to commit to the 8 weeks?
What would make it hard for you to commit?
Are you ready to make a financial investment in your health? ($500)
What would keep you from joining the program?
Are you familiar with Health at Every Size and Intuitive Eating?
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This form was created inside of Jessica Dean.