How much weight do you have to lose in total? *

Under 20 pounds

20 - 40 pounds

Over 40 pounds

First Name *

Last Name *

Phone Number *

Email *

What do you struggle with when it comes to food?

I'm an all or nothing eater - if I mess up one meal, I'll be off track for the rest of the day

I get overwhelmed when it comes to figuring out what to lose weight because there's so much conflicting information online

I tend to grab whatever is the most convenient option - and it's usually unhealthy

I eat when I'm stressed / overwhelmed / sad

I feel guilty if I eat the wrong thing or if I get off track

Every time I go out to eat, I feel like I'm taking 2 steps backwards

Describe everything you have tried in the past to lose weight - low carb, intuitive eating, tracking macros etc. *

Short / Low Effort Answers Will Be Cancelled ^

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