Quieting, Not Dieting Holiday Application

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Thank you for your response. ✨

Name

Phone

How did you hear about Quieting, Not Dieting?

What is drawing you to Quieting, Not Dieting right now?

Answer:

What health or wellness goals are you currently working toward?

Answer:

Where do you feel most stuck?

Answer:

What does “food noise” look like for you, if that is something you experience?

Answer:

What would you most like to be different by the end of November?

Answer:

What kind of support are you hoping for from a group coaching experience?

Answer:

Are you comfortable participating in a small group setting and respecting confidentiality?

Answer:

Are you willing to attend the weekly Monday evening sessions?

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Is there anything you would like me to know that would help me understand whether this program is a good fit for you?

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Are you currently under the care of a healthcare professional for any health concerns that may require medical diagnosis or treatment?

Answer:

I understand that Quieting, Not Dieting is a health and wellness coaching program. It does not provide medical diagnosis, treatment, or medical nutrition therapy, and it is not a substitute for professional medical care.

Answer:

I agree that my spot will be secured once I sign the coaching agreement and pay the enrollment fee of $397.

Disclaimer: Dwelling & Dish provides health education and coaching, not medical diagnosis or treatment. Information on this website is for educational purposes only and is not a substitute for professional medical care. Please consult your healthcare provider regarding medical concerns. See our full Disclaimer for more information.

1 Corinthians 6:19
“Or do you not know that your body is a temple of the Holy Spirit who is in you, whom you have from God, and that you are not your own?”

3 John 1:2
“Beloved, I pray that you may prosper in all things and be in health, just as your soul prospers.”

Contact: info@dwellinganddish.com

Phone: 540-296-4443