Application for Time To Deflate's Pre-op 1 Month Intensive
Email address *
Full name *
Preferred phone number *
Are you currently in a pre-op program for weight loss surgery? *
If yes, do you have a surgery date (or idea for when surgery will be?) *
What are you most nervous about as you near surgery? *
What are you most excited about? *
Have you in the past, or are you currently, seeing a mental health professional? Do you plan to see someone during your pre-op/post-op process? *
What areas are you hoping for more help in, in regards to your health and surgery? *
Required
This is a one-month intensive, working directly with me. This program will include a physical welcome gift from Ness Planners (a $50 value!), weekly videos, email contact with me with homework and journal prompts, and weekly 45-minute phone calls with me to go over your personal program and needs. The total cost for this program is $549. Is this a program you are interested in learning more about? *
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