1:1 Client Application
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šŸ‘‹ Hi there!

Please fill out this application and I will reach out if we are a good fit and your goals are within my area of expertise.

Please note: Applications are read in the order that they come in and I will email you as soon as I have read yours. If we are not a good fit, you may or may not receive an email from me to follow up.

Make sure to check your spam folder and make sure emails from emmy@therealgoodnutrition.comĀ and info@therealgoodnutrition.com are set to go to your inbox.


Looking forward to chatting with you soon!

Emmy

šŸ›‘ Please read the fine print before moving on:

1ļøāƒ£ Only available to adults ages 18+Ā who are residents of AZ, CA, CO, IL, MI, MN, VA, WA, and WI. If you do not meet this criteria you will not receive an email back from me.
2ļøāƒ£ Please be ready to work together when you are contacted. If you are not sure that you will want to work together, or want to double check that we are a good fit, please reach out to me to chat before applying.

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First & Last Name *
Email Address *
Birthdate *
By submitting this form, you are agreeing that you understand our eligibility requirements for age.
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Phone Number *
What state do you live in?
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By submitting this form, you are agreeing that you understand our eligibility requirements for location.
Where did you hear about Real Good Nutrition? *
If you plan to use insurance:
I am only able to accept BCBS Anthem and FSA/HSAs for appropriate diagnoses.

Please note that BCBS Anthem is not necessarily the same as other BCBS plans, and I recommend that you double check that my services are covered under your plan.

Are you planning on using BCBS Anthem or FSA/HSA for your sessions?
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Clients will not be chosen on the basis of whether they are using insurance or not.

FYI:Ā If you are planning on using BCBS Anthem, you will be asked to fill out two forms to verify your insurance eligibility and obtain the necessary documentation of your diagnosis from your doctor or other provider.
Please select the health condition(s) that you are hoping to work on: *
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Which of the following sounds the most like you? *
šŸ¤ If your goal is for weight loss, please read the following note:

While I totally understand your goal to lose weight, my practice focuses on helping individuals develop a balanced relationship with food through intuitive eating and balanced nutrition. Rather than centering on weight loss, our work would support long-term health by nourishing your body in a way that feels sustainable and aligned with your unique needs, as well as building healthier lifestyle habitsā€”such as exercise, sleep, stress management, and overall metabolic function. While these efforts may or may not result in weight changes, I take a non-weight-focused, weight-neutral approach, recognizing that everyoneā€™s body is different.

If this approach resonates with you,Ā please continue filling out this application -Ā I'd love to explore how we can work together. If not, I completely understand and wish you the best on your journey!
Do you want help improving your relationship with food? *
(i.e. quit the diet cycle, stop feeling guilty/shameful for food choices, get rid of food rules, learn to eat without a diet, improve body image, find weight neutrality, etc.)
What is your reason for wanting to work with Emmy, and what do you hope the outcome of working together will be?

Ā If you'd like help with a specific diagnosis, please add that below.

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Just a few sentences please!
Packages start at $560 (you can see the breakdown of what's included here). Please click the box below to confirm that you have reviewed our pricing on the website. *
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Which of the following sound the most like you?
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If we're a good fit, how soon can you get started?

Note: If you are not ready to get started right away or do not know when you would want to start, please do not apply quite yet.

If you are contacted by Emmy and you do not wish to work together right away, please know that you will need to apply again when you are ready to do so - your spot will not be held. Thank you for understanding!
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šŸ¤ Not quite ready for 1:1 work?

If 1:1 nutrition counseling isn't in your budget right now or youā€™re not sure you have the time to fully commit, I totally get itā€”and Iā€™ve created other ways to support you.

šŸ‘‰ Check out The Good Nutrition Collective, a monthly membership with weekly live coaching and Q&A calls with me, tons of resources (think - meal/snack ideas, my favorite products, intuitive eating advice, and so much more), and a private community space. All for $67/month, cancellable anytime. Learn more and sign up here.

šŸ‘‰ Or explore The Real Good Intuitive Eating course, a self-paced option to help you rebuild your relationship with food on your own schedule. Learn more and enroll here. Learn more and sign up here.
By submitting this form, you'll be added to the Real Good Nutrition newsletter, but you can unsubscribe anytime you want to (no spam, I promise!). *
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