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Apply for 1:1 Coaching with Jaclyn

At any one time, I work with a limited number of women who want to get off the all-or-nothing dieting train and learn how to eat *some* pizza without eating all the pizza. We work together to change your relationship with food, period.

 

If you're ready to finally do things differently,

click the button below to apply to work with me.

Start

Question 1 of 12

First and Last Name

Question 2 of 12

Email Address

Question 3 of 12

At what age did you do your first diet and which diet was it?

Question 4 of 12

What are your top 3 goals for the next 6 months? Be as specific as possible. required

Question 5 of 12

On a scale of 1-10, how committed are you to making those goals into a reality in the next 6 months? required

Question 6 of 12

Do you consider yourself open-minded and willing to try new ways of thinking? required

 

 

A

Yes

B

No

C

Not sure

Question 7 of 12

What are you currently struggling with the most or what are your biggest obstacles to your goals? required

Question 8 of 12

Have you ever worked with a 1:1 coach before? required

 

A

Yes

B

No

Question 9 of 12

Question 10 of 12

Are you prepared to invest in yourself financially? 

*If your answer is not YES, please check out the Intro to Imperfect Eating program as it may be a better fit for you.

 

A

Yes

B

No

Question 11 of 12

How did you find me?

Question 12 of 12

Anything else you think I should know? required

Confirm and Submit