Mindful Weight Loss Academy
Hi there! I'm so happy you're here and for the possibility for us to work together so you can sustainably lose weight while eating the foods you love!

The Mindful Weight Loss Academy program is for you if you are:
- Female
- Currently trying to lose weight
- Looking to heal your relationship with food
- Ready to ditch fad diets & find balance with food

Please take a few minutes to watch the short video and answer the questions below so I can see if we are a good fit to work together. Once you fill it out, you will be redirected to book a call to discuss the next steps.

I’m looking forward to learning more about you!

xoxo,
Jackie
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WELCOME! Watch this short application video first :)
First & Last Name *
Email Address *
Phone Number *
Instagram handle (i.e. @the.mindful.nutritionist) *
How did you find me? *
How do your prefer to communicate for next steps?
 *
What are you sick of or at your wits end with when it comes to your health, weight, nutrition, eating, body image, etc? *
What do you feel you need the most help with? *
How would you describe your current health state/concerns? (weight, medical diagnosis, labs, etc.)

Examples: overall you feel you're at the worst phase of health you've ever been or maybe you just want to lose weight but overall consider yourself healthy.
 *
What have you done in the past to lose weight and/or get healthy? What did and didn't work? (Examples: Weight Watchers, counting calories, paleo/keto, weight loss medications, other diets, etc.) *
My proven framework has helped hundreds of women lose weight and keep it off. If we decide together that this is the right fit for you, I’m confident my program will be the LAST thing you need. 

You'll get personalized coaching and acquire the tools you need to lose weight and never diet again. I offer flexible payment options (including accepting HSA/FSA, Affirm/Klarna After pay, and PayPal Financing). Are you in a place where you are ready to invest in your health?
 *
Thank you for taking the time to fill all this out! Once you hit submit below, you'll be redirected to book a call. If you can't find a time that works for you, I'll reach out to you to find a time :) *
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