The Hormone Dietitian One-on-One and Group Application
Apply to become a client of The Hormone Dietitian!

Melissa ONLY works with PCOS or fertility clients.
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Appropriate candidates will be contacted in the order received.

There is approximately a 6-month wait for one-on-one programs. Melissa is booked through March 2021.

PCOS Small Group Coaching Programs will be starting Spring 2021.

The PCOS Root Cause Roadmap (https://www.thehormonedietitian.com/pcos-course/) is currently enrolling!

For more information about what it's like to work with Melissa, please watch her free masterclass, PCOS Period Success: https://thehormonedietitian.com/pcos-webinar


***U.S. ONLY. All applications from outside the U.S. will be discarded***
Email address *
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Name *
Birthdate *
Best phone number to reach you *
What state do you live in? (Melissa ONLY works with clients in the US) *
What is your occupation? *
Where did you hear about me? *
Do you have PCOS? *
Are you struggling with fertility issues? *
In a few sentences, please describe your reason for wanting to work with Melissa *
What would ideal success look like for you as we work together? *
What's preventing you from reaching your goals right now? (Please be honest & as specific as possible!) *
Which statement best describes you? *
If we decide we're a good fit, how soon can you get started? *
Working with Melissa requires a 3-month commitment. Is this going to be a problem for you? *
How much is it worth it to you to invest in your issue if it meant reaching your goals? (getting your periods back, getting pregnant naturally, etc) *
Are you more interested in one-on-one programs or group programs? *
By submitting this form, you may be added to my mailing list. You may unsubscribe at any time. *
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