The Nourish Method

Application Form

Full Name *

Email *

Phone *

Age *

Where are you based? *

Your Health Background

Are you currently pregnant trying to concieve? *

Yes

Would like to in the near future

Are you currently undergoing cancer treatment or recovering from a recent cancer diagnosis? *

Yes

I have been given the all-clear or am on long-term post-cancer treatment

Do you have any chronic kidney disease or kidney-related health issues? *

Yes

Have you ever been diagnosed with an eating disorder? *

Yes, currently active

Yes, in the past but currently in recovery

Do you have any other significant medical conditions I should be aware of?

Goals & Mindset

What are your top 3 health goals right now? *

What have you already tried to reach those goals? How did it go? *

Which of the following best describes your current mindset around weight loss? *

I want to lose weight as fast as possible

I'm ready to take a sustainable, long-term approach

I'm not sure what approach is best for me yet

What are your biggest struggles or symptoms right now? (Tick all that apply) *

Stubborn weight gain that won't shift

Low energy or fatigue

Brain fog or poor concentration

Digestive issues (bloating, constipation, reflux etc)

Mood swing, anxiety or low mood

Irregular or heavy periods/ menopausal symptoms

Poor sleep

Other

Support & Commitment

Are you open to exploring functional testing and making changes to your nutrition and lifestyle? *

Maybe - I'd like to understand more first

Yes

How committed are you to investing time and energy in your health over the next 6 months? *

Very committed - I'm ready

I'm interested, but I have some hesitations

I'm just gathering information for now

Which of the following best describes what you’re looking for? *

A self-guided starting point

Group support with expert input

Personalised, 1:1 guidance

I'm not sure yet - I need help figuring that out.

Final Steps

Which of our programmes are you applying for? (tick multiple if you're torn!)

Nourish Essentials

Nourish Core

Nourish VIP

I need help figuring out what option will be best

If it’s a good fit, would you be happy to book a free call to explore the right support for you? *

Yes, I'd love to chat!

Maybe - I want to read more first

I'd rather skip straight to enrolling - send me the enrolment link please!

By providing my phone number and email address, I agree to receive text messages and emails relating to this application from Louise Digby Nutrition Ltd.