Click below to set up your coaching call.
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What's your full name?

 
Phone number:

 
What health issues are looking to resolve (mental, physical. emotional). List them in order of importance.

 
What's keeping you from feeling your best? What have you tried before?

 
How long have you been dealing with you current challenges and what are they "costing" you: in your relationships, your ability to enjoy life to it's fullest, your future health?

 
What are your top three limiting factors? What do you believe is getting in the way of you achieving your goals?

 
What are your top three stressors in your life?

 
How do you want to FEEL today and every day? Write down as many words as possible. Don't hold back. This is how you envision your optimal life!

 
If you were wildly successful in making peace with food, body and self, describe how you would feel and what you believe would change for you.

 
On a scale of 1-10, how ready and committed are you to up-grading your relationship with food, body and self? And why.

 
What days and times are best for your appointment? Appointments available Tuesday through Friday 9am - 5pm. Would you prefer to book your appointment via Zoom Video Conference Call or in my Jackson Hole office?

 
Thanks for taking the first step to making peace with food, body and self.

I'll be in touch with you in the next 24 hours to set up a time to chat and see if Mind Body Nutrition is a good fit for you!

To your happiness and health, Tanya

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