Eating with a Full Heart
This is an application form for Eating with a Full Heart: A 3-part workshop to help you make peace with food and your emotions.
First and Last Name *
Your answer
Email address *
Your answer
Phone number *
Your answer
What do you hope to gain from this workshop? *
Your answer
Are you prepared to show up to every session? *
Although it won't take long, this group will involve some reading and completing of "homework" between sessions. Do you have time to commit to this? *
How did you find out about this group? *
Never submit passwords through Google Forms.
This form was created inside of Adina Pearson Nutrition.