The Love Food Again Program application

Hi there. Please fill out the application below if you're interested in joining the Love Food Again Program. Emily will reach out if you may be a good candidate. And if not, she will get in touch with any referrals or resources she thinks may help you.

This group will start January 15, 2024 with a 6pm CST 15 minute kickoff call. Our first group coaching session will be Wednesday January 24 at 11am CST. See below if this time does not work for you.

And FYI, by filling this out, you'll start getting my Lunch & Liberation newsletter and notifications about my other offerings.

If you'd rather talk to me instead, book a discovery call.

First Name

Last Name

Email *

City

State

Explain why you want to join this program.

What do you imagine changing through doing a 6 month program to improve your relationship with food?

How did you hear about me?

Which, if any, of the following do you deal with?

No major health diagnoses in past year

Anorexia Nervosa

Binge Eating Disorder

Bulimia Nervosa

Diabetes

Disordered eating / dieting (NOT a clinical eating disorder)

PCOS

Any other health issues you'd like to share?

Other:

What, if anything, are you currently doing to improve your relationship with food?

What goals do you have in mind while applying for this program?

We will meeting at 11am CST every other Wednesday. Does this time generally work for you? If not, what would be better? (we may change the time, depending on what is best for the group)

Is there anything else you'd like me know about you?

"It seems to me, that our three basic needs, for food and security and love, are so mixed and mingled that we cannot straightly think of one without the others."

M.F.K. Fisher

Questions? emily@emilyvaneck.com