Please fill out the following form before our scheduled Body Peace & Food Freedom Consultation Call. Name * First Name Last Name Email * Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Body Peace & Food Freedom is a 6-month One-on-One program with a group experience. It is for those who are serious and ready to do the work required to heal your relationship with food & your body, which includes time, energy, and financial investment. * Are you ready to make this commitment? Yes, I'm ready- I want to enjoy my life again! Unsure but am willing to try! Do you understand that Body Peace & Food Freedom is not a weight loss program? * There is no way of knowing if you will lose weight, gain weight, or stay the same weight. Yes, I understand. How did you find out about Body Peace & Food Freedom? * Are you familiar with the concept of Intuitive Eating? * Yes No Somewhat Are you ready to shift from weight determining your health? * Yes Somewhat What are the top 3 challenges that you would like to address in this coaching program? * Where do you hope to see yourself at the end of our six months working together? * What do you think will happen if you don't get this support and put the time in to do the work? * How long have you struggled with dieting and body confidence? * Please include additional details if needed. The program runs weekly and spring dates will be coming soon. One-on-one coaching sessions are by appointment and planned ahead of time on Tuesdays, Wednesdays, or Thursdays between 9-5 EST. * Does this work for you? Yes No Whether you are working full time, part-time, being mom, grammy, partner, or spouse, or just being you, are you ready to take the time for your self-care and create your future of body peace and food freedom? * Yes All weekly sessions will be recorded. For your best learning experience, please plan on attending live through Zoom. * Yes, this works. No, I will need to discuss alternative time options. Please share any questions that you may have and any additional information you believe I should know about yourself. Yes, I consent to recieving future emails from lisa@lisadahlwellness.com pertaining to intuitive eating related information, products, and services. * Yes, I consent. Thank you! Looking forward to our call :)
