Application Form

Step One: Apply
To make sure we are the perfect fit for each other, start by filling out our application form below.

Step Two: We will be in touch!
Once the application is filled out, we will be in touch to answer any lingering questions or set up a call as needed. Together, we’ll decide if an HSH Program is right for you and we’ll help you choose the best fit.

Name

First Name

Last Name

Phone

(###)

###

####

Email

IG Handle

How did you hear about us?! Did someone refer you?

Do you have an active eating disorder or are in treatment for an eating disorder?

PROGRAMS:

What coaching program are you interested in?

1:1 VIP Coaching

Eating Disorder Recovery + Support Coaching

Nutrition Intensive with Jenna

Group Coaching

Alumni Coaching

What brought you here today? Why are you taking this step to change your eating habits?

In your words, what is your number one goal you want to achieve by joining the HSH family?

Try to dig deep and give us some detail here.

Are you willing to make changes to not only your eating habits but also lifestyle changes to reach this goal?

Are you OK and comfortable with behavioral based nutrition coaching?

AKA not following a FAD diet, counting macros or deleting entire food groups?!

What is preventing you right now from getting to your change?

Are you willing to commit to a premium coaching investment in YOURSELF to learn how to eat right for the rest of your life - and free yourself from restriction & deprivation?

Please Note: Package pricing for 1:1 coaching is $600/month