Private Coaching Call Application - AH Coaching

Name: *
Email: *
Time Zone:

Welcome!

Welcome to Always Hungry? Solution Coaching. Please complete this form to the best of your knowledge. Note that this application is a no-obligation form. When you are paired with one of our AH Health Coaches, you will be eligible for a 15 minute discovery call with them to determine if it feels like a good fit. 

We will contact you within 7 business days of your application submission to introduce you to your coach and discuss the next steps in your AH Journey. 

Before beginning, please verify your email address.
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What is AH Coaching? 

AH Coaching offers an in-depth, hands-on level of support for those following the Always Hungry? Solution. This is your chance to work with an AH Coach and tailor the AH Solution to your specific needs.

What Can You Expect?

  • 45-60 minute one-on-one coaching calls tailored to your individual needs.
  • Personalized resources to help you along your AH journey.
  • Feedback on your Daily Trackers and Food Mood Logs (if you are currently using these resources).
  • Specialized recipes for your needs (if applicable)

What We Need from You

  • Complete this no-obligation application to tell us more about yourself and begin the process of being paired with a coach.

Timing – What to Expect

The following outlines our current target timeline for the application process.

Step 1) 
Submit your application. You will be notified of approval or additional questions within 7 business days.

Step 2) 
After application approval, you will be able to select your desired number of calls (we offer 1, 3 or 6 call packages) and make your payment. 

Step 3) 
You will have the option to book a 15 minute introductory call with your coach to meet them and outline your AH goals so they can best assist you in the calls. You will be instructed how to do this when you complete this form.

Step 4) 
Schedule your 45-60 minute call(s) with your AH Health Coach.

Basic Information


First Name
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Last Name
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Street
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Unit
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City
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State/Province
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Postal Code
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Country
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Mobile Phone
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Date of birth (mm/dd/yyyy)
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Occupation
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Hours per Week
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Please help me call you by your preferred pronoun. What is your preferred pronoun? (ex. She/He/They/etc.)
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Age
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Height
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Weight
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How many people in your house do you cook for?
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How many adults are in your household (18 and older) including yourself?
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How many children are in your household (under 18)?
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Personal Health History


Medical Conditions
DiagnosisCurrent/PastDate of Onset
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Medications
List all medications you are currently taking. 
MedicationDoseFrequencyStart DateReason
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Supplements
List all supplements you are currently taking including vitamins, herbs, and minerals. 
SupplementDoseFrequencyStart DateReason
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List your current health concerns in order of importance.
Health Concerns
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List any allergies or food sensitivities your experience.
Food Allergies/SensitivitiesReaction
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Do you avoid the foods you listed above?
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If no, please explain which foods you still eat.
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Has your doctor advised you to follow a low-salt diet?
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What are your favorite foods?
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What foods do you avoid (if any)?
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Do you experience any symptoms after meals?
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Coaching Preferences

Please describe what you are hoping to get out of a coaching relationship. 
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What qualities are you looking for in a coach?
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What are your short term AH goals?
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What is your preferred learning method (check all that apply). 
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What pillar of AH do you need most assistance with?
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Briefly explain your choice.
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What pillar of AH do you need least assistance with?
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Would you prefer a set of group calls (4-8 people) or a set of private calls? 
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What is your preferred availability (please check all that apply).
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Are there specific days that do NOT work within your schedule?
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What time zone are you in?
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How did you learn about the Always Hungry? Book?
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In what year did you first learn about the Always Hungry? Book?
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Are you a current member of our Facebook Community?
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If you are a member, how did you first learn about our Facebook Community?
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