Intuitive Eating Virtual Small Group Questionnaire
This is a 8-week small group coaching experience to help you heal your relationship with food and your body, ditch dieting for good, get back to trusting yourself around food AND enjoying the foods you actually like!

Group is held via online video Thursdays at 6pm CST beginning May 20, 2021 (recordings will be provided if you are unable to attend live).
Please provide your first and last name. *
Please provide your age *
Have you heard of Intuitive Eating before? *
Have you read the book Intuitive Eating before? *
What inspired you to apply for this group? What are you hoping to gain from this group and learn about Intuitive Eating in a small group setting? *
Tell me about your previous experience with dieting. *
Have you been diagnosed with an Eating Disorder or do you currently exhibit symptoms of an ED such as purging or severe food restriction? *
If you answered Yes to the above Eating Disorder question, please explain.
In addition to the program fee ($399), you commit to buying the Intuitive Eating book and workbook (estimated cost of both together ~$31) and to reading ~1 chapter every week and attending the live group sessions as much as possible to create an engaging and supportive group experience. *
Do you understand this is not individualized nutrition coaching or counseling (although that is a service I provide and is an option for you to do separately from this group program)? *
Please note: This focus group is not appropriate for someone struggling with an active eating disorder (i.e. those who are engaging in behaviors such as purging, or those who are engaging in severe food restriction). If you have an active eating disorder, please see the National Eating Disorders Association for referrals instead.
Please share anything else that would be helpful for me to know about you! *
What is your email address? *
Thank You
Thank you. I will be in touch shortly.
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