I’m so glad you’re here
This application helps me understand your goals, current patterns, health background, and what kind of support is the best fit for you. Please answer as honestly as you can — there are no perfect answers here.
Once submitted, I’ll review your application and reach out with the next best step.
First Name
Email Address
Phone Number
Last Name
Intagram Handle
What are your main goals for seeking personalized nutrition and stress-resilience coaching?
What feels most frustrating or challenging for you right now?
This may include stress eating, cravings, food noise, low energy, burnout, weight concerns, body image, digestion, hormones, sleep, consistency, or feeling like you keep starting over.
What have you tried so far to work toward these goals?
This may include diets, meal plans, nutrition coaching, therapy, fitness programs, stress management, lab testing, supplements, medication, or other support. If you haven’t tried anything yet, that’s completely okay — this simply helps me understand your starting point.
Briefly describe your current health status and any relevant medical background.
Please share any health conditions, symptoms, medications, past diagnoses, lab concerns, hormone concerns, digestive symptoms, or relevant history that may help me better understand your current experience. If anything feels too personal to share here, you are welcome to omit it. We can discuss those details privately if we move forward.
Which areas are you most interested in improving?
Please list any letters that feel true for you. You’re welcome to add context if you’d like.
A. Nutrition
B. Stress resilience / nervous system support
C. Sustainable habit formation
D. Energy levels
E. Sleep
F. Hormones
G. Digestion
H. Cravings / food noise
I. Stress eating or emotional eating
J. Weight concerns
K. Body trust / body image
L. Accountability
M. Overall wellbeing
How do you want to feel in your body, your energy, your routines, your relationship with food, and your daily life?
Fast forward one year from now — what would you love to be different?
What kind of support are you most interested in?
Please list any letters that apply. You’re welcome to add a sentence or two if you’re unsure.
A. Private 1:1 coaching
B. Self-paced programs / seasonal resets
C. Not sure yet — I’d like guidance on the best fit
D. I’m interested in learning more about lab testing support
Are you ready to invest time, energy, and resources into personalized support at this stage?
A. Yes, I’m ready now
B. I’m interested, but I have questions
C. I’m exploring options
D. Not yet, but I want to stay connected
Do you have any questions or anything else you’d like me to know?
What is your preferred way for me to reach out?
A. Email
B. Text
C. Phone call
D. Instagram DM