Body Image Coaching Mentorship Application
This application will ensure you're a good fit for the body image mentorship program.
You will be contacted within 72 hours to confirm your participation. Spots are filled on a first come, first serve basis. This cohort will be capped at 8 people.
If you have any questions, please email me
I'm excited to do this with you!
Sign in to Google
to save your progress.
What is your full name?
What is your email?
What is your profession?
Do you have a website or social media presence? If so, please link below... (it's ok if you don't)
In your practice, who do you help and how do you help them?
What are some of the common struggles you hear from clients as it relates to body image?
Please confirm that you are enthusiastically anti-diet, fat positive and do not endorse or sell weight loss.
Never submit passwords through Google Forms.
This form was created inside of Summer Innanen.