Healthy Eating Consultation Application

To schedule your one-on-one phone call for a Healthy Eating Consultation with Katharine, watch this video first.

If you haven’t had a chance to watch this information video about my Healthy Eating Program yet, I suggest you take a peak now:

Please fill out the form below to apply for a Live Healthy Eating Consultation with Katharine. Once we receive your application, we will contact you to set up an appointment time.

Healthy Eating Consultation Application

If you are human, leave this field blank.

First Name *

Last Name *

Email *

Cell Phone Number *

Your Personal Facebook Profile URL *

https://www.facebook.com/yourProfileName

Select Your Local Time Zone *

What times and days are generally good for you in the next few days for scheduling our phone consultation? (Allow up to 30 minutes) *

Tell Me Briefly About Your Health Goals. (What are the main things you’d like to change with your health or body? Why are these things a problem for you? What do they prevent you from doing?) *

How often do you currently eat each day (meals and snacks) and at approximately what times? *

What types of food do you currently eat for these meals? *

What do you think are the main factors stopping you from hitting your health goals? (The more specific you are here the faster we’ll get you clarity during our call together) *

What would be the most important criteria for your success as we work together? *

Weight Management

Better Eating Habits for Long Term Health

Increasing Energy

We only accept very limited number of new clients per month to work with, and we select applicants based on those we feel are best fit and MOST LIKELY to see results from working together. With That Said…. If you are accepted how soon could you get started? *

Do you have the financial resources available to invest in your health? *

Yes

Not Sure

Absolutely Not