Feed Your Family Well

Intake Form

Email *

Before we begin:
Please be as open, honest, and vulnerable as you feel comfortable. The more I understand about your unique situation, the better I can support you over the next 8 weeks. There’s no judgement here — just support.

1. What are the ages of your children?

2. What are mealtimes like in your home right now?

3. What are your biggest struggles when it comes to feeding your family well?

4. What have you already tried in the past to improve your family's eating habits?

5. What are your current go-to meals that you can rely on everyone eating?

6. If you could wave a magic wand and have your ideal mealtime situation, what would it look and feel like?

7. How confident do you feel cooking and preparing meals right now? (1 = not confident at all / 10 = super confident) Rating: ______ /10 Optional: Tell me more:

8. What do you hope to gain from this program?

9. Anything else you'd like to share about your current situation or goals?