Group Coaching Application

Once you complete an application, you'll be invited to book a call with one of our practitioners. This will allow us to learn more about you and ensure the programme is a perfect fit. You’ll also have an opportunity to ask any questions you may have.

How did you hear about us?

If no, please specify how you would prefer for us to communicate with you?* (e.g telephone, email, Whatsapp text, Whatsapp video, text message etc.)

Are you happy to speak to our practitioner via Zoom so that she can learn a bit more about you and answer any questions you have? (Yes / No)*

What makes you most excited about joining the group?*

Are you ready to invest in your programme? (Yes/No)*

Are you ready to start your journey to making peace with food today? (Yes/No)*

Is there anything you would like to share about your journey so far?*

Which of the following are important to your recovery?* (e.g I want to feel happier in my body, I want to stop binge eating, I want to understand nutrition, I want to stop yo-yo dieting, I want to stop emotional eating, I want to find peace with food)

Please tell us a little about what you would like to achieve through this programme?*

Which of our group programmes are you interested in? (e.g. Food Freedom, Binge Recovery)

Email Address*

Phone Number*


Full Name*

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