Your name *

 
Email address *

 
Tell me about your relationship with food and your body as it looks right now. *

 
What are your biggest frustrations and why?

 
Before you actively seek a solution to heal your relationship with food and your body, what needs to happen first? *

 
If I could wave a magic wand and get you the results you’re after, what would those results look like for you? *

 
Have you ever purchased a course or signed up for a program to help you with your relationship with food and your body? *

     
 
If no, what has stopped you from investing in this further? If you were to join a course that promised you results in this area, how would you like to be taught?

 
If yes, did you finish the course? If not, what do you think stopped you from getting results? If so, did you see the results you were hoping to see? What did you pay for the course? What did you find valuable? What did not work for you?

 
Think about how you’ve learned best in the past. What are some of the common elements that have really made a difference for you? *

 
If I could wave a magic wand and create a product that was perfect for you, what would that look like? *

 
Have you practiced yoga, meditation, and/or mindful eating before? If so, how would you describe your experience? If no, do you have an interest in learning? *

 
On a scale of 1 - 10 (1 = not very familiar; 10 = very familiar), how familiar are you with the chakras? Explain. *

 
What have you tried before to solve your current frustration?

 
What books, if any, have you read about yoga, meditation, and/or mindful eating?

 
What yoga, meditation, or mindful eating experts do you follow, if any?

 
Inside my course, If I were to ask you to follow along to a 45 minute yoga video that you could do at home, listen to a 5-10 minute meditation and answer a couple of thoughtful questions afterward, would you be able to do that at least once per week? *

     
 
Is there anything else you’d be willing to share about your goals/struggles/challenges so that I can serve you even better?

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