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February 10, 2017

I signed up for next group of Radicata SEED Classes!

Hi beautiful!

I’m so thrilled you signed up for my group classes! 🙂

Please fill out this application form and I’ll be in touch very soon so you can get started with the next Radicata SEED Group Classes. In the meantime, this form will help me get to know you a bit better because each group of classes is unique and tailored to YOUR needs.

Loves,

Aglaée

[contact-form to=’aglaee@radicatanutrition.com’ subject=’Application – Radicata SEED Protocol’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’#1. How would you describe your relationship with food and your body? Do you binge? Are you an emotional eater? Do you feel like a food addict? Do you suffer from disordered eating or an eating disorder?’ type=’textarea’ required=’1’/][contact-field label=’#2. What would be different about your life if you didn%26#039;t think about your weight anymore?’ type=’textarea’ required=’1’/][contact-field label=’#3. List some of the most common thoughts you have about yourself, your body and your eating behaviors.’ type=’textarea’ required=’1’/][contact-field label=’#4. List 3 things you like about yourself and your body.’ type=’textarea’ required=’1’/][contact-field label=’#5. How ready, on a scale of 0 to 10, are you to heal your relationship with food and your body?’ type=’select’ required=’1′ options=’0,1,2,3,4,5,6,7,8,9,10’/][contact-field label=’#6. What areas of your life are impacted by your problem?’ type=’checkbox-multiple’ required=’1′ options=’Myself,My children,My family,My relationship with my significant other,My relationship with my friends,The relationships that I don%26#039;t dare having,My career,My physical health,My emotional %26amp; mental health’/][contact-field label=’#7. Did you take the Whole Batch Syndrome (free) Online Training with Aglaee?’ type=’checkbox-multiple’ required=’1′ options=’Yes,No’/][contact-field label=’#8. Do you have a diagnosed eating disorder? ‘ type=’checkbox-multiple’ required=’1′ options=’Yes anorexia,Yes bulimia,Yes binge eating disorder,Yes orthorexia,Yes (other),No,Unsure,Disordered eating but no eating disorder’/][contact-field label=’#9. I understand that this program is not about food and physical health (although it is part of it) and that it goes much deeper than that.’ type=’checkbox-multiple’ required=’1′ options=’Yes – that%26#039;s EXACTLY what I want!,No’/][contact-field label=’#10. I understand that this is NOT a weight loss program.’ type=’checkbox-multiple’ required=’1′ options=’Yes – that%26#039;s EXACTLY what I need!,No’/][contact-field label=’#11. Do you have anything to add?’ type=’textarea’/][contact-field label=’#12. Are you familiar with… ?’ type=’checkbox-multiple’ required=’1′ options=’Skype,Zoom,Phone’/][contact-field label=’#13. Why are you interested in the group classes? (i.e. lower fee? community? other?)’ type=’textarea’ required=’1’/][contact-field label=’#14. How are you planning to attend the classes?’ type=’checkbox-multiple’ options=’Attend the classes live,Watch the recording on my own,A combination of both,I don%26#039;t know yet’/][contact-field label=’#15. Which of these days %26amp; times could work for you (check as many as you can, taking note that it would be every other week)?’ type=’checkbox-multiple’ required=’1′ options=’Monday 4pm Pacific / 7pm Eastern,Saturday 8:30am Pacific / 11:30am Eastern,None of these’/][contact-field label=’#16. What time zone are you in? (or write your city and country if you don%26#039;t know and I%26#039;ll figure it out!)’ type=’text’ required=’1’/][contact-field label=’#17. How did you hear about Aglaee and the Radicata SEED Protocol?’ type=’text’ required=’1’/][contact-field label=’#18. What interests you in the Radicata SEED Protocol?’ type=’textarea’/][contact-field label=’#19. What are your specific questions and concerns, if any, about the Radicata SEED Protocol?’ type=’textarea’ required=’1’/][contact-field label=’#20. Click here if you agree to be contacted by email by Aglaée!’ type=’checkbox’ required=’1’/][contact-field label=’#21. Is someone sending you? I%26#039;d love to know! Where did you learn about this?’ type=’text’/][/contact-form]