The Hungry For Happiness Society
Hi my friend, this is Samantha and I'm so thankful that you're considering working with me & my team and inviting us into a dialogue around helping you end your battle with food.
I don't take this opportunity of working with you lightly.
Please, before you fill this form out, take a moment to breathe. You'll want to be in your most present and conscious state before answering these questions.
Be open. Be honest. Be clear.
Finally, know that I value the work I do and I would love to serve you in the most incredible way to help you end the unnecessary struggle and finally live the life you know you deserve.
After you complete this application, you MUST book a call. Your application will not move to the next stage without you booking your call.
CONFIDENTIAL: Please take at least 20-minutes to complete these questions and authentically share your journey so that our team may understand more about you, your current struggle and how you would like to transform. Your answers are confidential and are only shared among the enrollment team members. This program does require a personal and financial investment, so if you're unwillling to invest your resources into your own healing at this time, please refrain from applying.
Best phone number for us to reach you:
What is your profession?
How did you hear about this opportunity?
What are your biggest struggles and problems you are facing with emotional eating and achieving your health goals?
What would you love to achieve in the next 6 months working with us?
How much money have you already spent trying to fix this issue?
What are your biggest obstacles in reaching your goals and why do you feel you need a coach?
On a scale of 1 to 10, please rate the level of pain that your relationship with food and/or your body causes you on a daily basis? (1= Almost no pain, 10=Unbearable pain)
The Society is a 6-month intensive group coaching program. This course requires personal and financial commitment. Please select what you are able to invest in order to end your fight with food & your body:
$3,500 - $5,000
Not Willing To Invest
If you selected "Not Willing to Invest" in the previous question, please confirm that you understand a financial commitment is required and will refrain from applying.
Please disregard my application
What financial range best desribes your current situation?
Not Currently Working
$10k - $30k annually
$30k - $50k annually
$50k - $70k annually
$70k + annually
Your application is not complete UNTIL you book your discovery call (on the next page)
Yes, I'm ready to book my call
Nevermind, I'm not ready to commit
Do Not Fill This Out