Your Clarity Call with Christine Dyan Please complete the application below so I can get a good sense of where you are right now and how I can best support you. It's VERY IMPORTANT that you give thought to your answers and complete the application questions FULLY (no "one word" answers, please). I work with females - typically high achievers - who are committed to investing time and energy into their health & personal growth. A 2016 Academy of Nutrition & Dietetics Featured Dietitian of the Year, I am passionate about the process of health coaching and life transformation. I look forward to reviewing your answers to the following questions and will be in touch within 24-48 hours to discuss the next steps of scheduling your call.Name* First Last Email* Preferred Phone Number*Preferred Phone NumberFor International Applicants OnlyOccupation*What are the 2 biggest goals you would like to achieve over the next 12 months?*These could be LIFE and/or HEALTH goals.If there were ONE thing you could change about your health, what would that be?*What other diets or health coaching programs have you tried in the past? Why did they work or not work for you?*It's important to note that I only work with clients who are open to doing BOTH the inner and outer work that will help transform their lives. Therefore, if you're only in need of a diet plan and exercise routine, working with me won't be a good fit. Are you willing to try a more holistic, mind/body approach, so you can achieve more permanent results?*Yes, I am FULLY committed to doing the work necessary to achieve lasting results.Whoa...I just want a quick & easy plan for now and not interested in making this level of commitment.Why do you think investing in a Nutritionist & Mind Body Eating Coach is worth it for you at this time?*How serious are you about investing time, energy and money in your health & personal growth?*I firmly believe in investing in myself and feel you may be the coach to help me finally achieve my goals.I've never invested in myself at this level, but am ready to explore the possibilities because this is my time.Nah... I think I'll pass on this one. Thanks!