Grace Filled Plate Platinum Application

You have tried to figure this out. You have done the diets, read the books, started over more times than you can count. And something in you knows the next "plan" is not the answer.

This application is the first step toward something different.

Platinum is not a diet program. It is a journey that gets to the root of why food has felt so hard, through God's Word, real community, and a step-by-step path designed to transform you from the inside out.

These questions will help me understand where you are, what you have been through, and whether Platinum is a good fit you. 

There are no wrong answers. Just be honest. I will read every response personally and get back to you.

Sign in to Google to save your progress. Learn more
🗒️ First and Last Name *
🗒️ Email Address *
🗒️ Describe your current relationship with food. *
What does a typical day or week look like for you, and what is the biggest struggle you face when it comes to food, eating, or your body?
🗒️ What have you already tried to address this struggle?  *
Diets, programs, books, counseling, etc.
🗒️ What is making you look for something different right now? *
🗒️ Is your Christian faith something you would like to bring into your journey with food and your body? *
Platinum is woven with Biblical principles and includes a daily Bible study.
🗒️ Are you open to doing inner work, not just changing what you eat? This program addresses the root, not just the habits. *
Required
🗒️ Platinum is a 12-month program. Are you willing to commit to showing up consistently (not perfectly!) over the long haul, even when life gets busy?
 *
Platinum requires about 2-3 hours per week (spread throughout the week). Is that something you could commit to right now?
 *
🗒️ Is there anything else you want me to know about you that would help me give you a more personal response?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brandice Lardner.

Does this form look suspicious? Report

Google Forms