BE Free Application.

Congratulations! You have taken the first positive step to ending your struggle with Emotional/Comfort Eating, Stress Eating, Binge Eating and Yo-Yo Dieting. This is an application form - it is not a registration, or contract. This is to see if you are a suitable candidate for this level of help. Once your application has been reviewed (within 48 hours of submission), we will contact you and discuss options.

Please complete the form below

Name *
Which Of The Following Do You Identify With *
When you answer this question, take into account how much you have already spent on diets, pills, counselors etc. Consider your answer like a health investment. Assuming you get EVERYTHING you want ( will), what would THAT type of solution be worth to you?
BE Free is a Holistic Mind/Body Program. We require our students to be open to all areas of learning. Are You Committed To The Following: *
Tick what you are committed to learning and improving to solve this problem