recovery is possible. Get started on your journey.

Private Coaching Application

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)*

Our core six-month programme is a five-figure investment. Are you ready to invest in your recovery?*

Are you ready to start your programme with us today? (Yes/No)*

What makes you most excited about this process?*

Are you currently receiving treatment for an eating disorder? If so please specify.*

Which of the following do you feel are important to your recovery?* (e.g. Relationship with food, relationship with body, nutrition support) 

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

Please tell us a little about what you would like to achieve through your programme.*

Email Address*

Phone Number*


Full Name*

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