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About
Sessions
Testimonials
Journal
Read
Resources
FAQ
Recipe Index
Events
Contact
Name
*
First Name
Last Name
What positive changes have you noticed since your last session?
*
What are your main concerns at this time?
*
Any changes with: Sleep, Mood, Digestion, How You Feel in Your Body or Relating to Thoughts/Emotions?
Has your cooking or food habits shifted in any way since we last met?
Is there anything you'd like to share about the foods you're eating?
Are you experiencing any guilt, anxiety, fear, or frustration with a certain food or eating situation?
Additonal Comments
Anything else you would like to share?
Your form has been sent to Katie. Thank you!
