If we seem like a good fit after filling out this application, I offer a complimentary 20-minute call to get to know you and share with you how I work with my clients. Before our time together, I want to be sure that you are serious in making a change. It won't all be easy, but if you feel strongly enough about making a change, I know you can do it! Please fill out the form below with as much detail as possible. I will get back to you shortly. Thanks!  


Name *
Nutritionist, therapist, etc.
1 being not at all important, 10 being extremely important.