Work with me

Coaching Application Form

As an experienced Dietitian specialising in Bariatric Nutrition, I would love to help you make the most of your bariatric journey.

Press ▶️ below to watch this video to know more about me and see how I can help you.

Then tell me more about yourself by filling in the form below, and I'll be in touch!

First Name

Last Name

Phone Number (please include area code)

Instagram Handle (e.g. mine is @bariatricdietitian.margaret). If you don't have an Instagram account, please type N/A.

How did you hear about me?

Instagram

Internet search

My friend referred me

Previous client

Where do you live? (State and Country)

What Weight Loss Surgery procedure have you had?

When did you have Weight Loss Surgery?

Are you currently working with a Dietitian?

Have you had much Bariatric Nutrition education?

What is your main reason for applying to work with me?

Worried about weight re-gain

Lack of professional nutrition support

Struggling with food choices after WLS

Unsure how to reach my Protein target

Just generally overwhelmed and confused with information overload

Other reasons

What are your biggest challenges you feel are preventing you from achieving your goals after Weight Loss Surgery?

My program is result-focused and personalised just for you. Your investment starts at AUD$297/month for a minimum of 6 months (discounted if you pay upfront). Are you in a place to make this financial & time commitment for my program?

If you have any further information you would like me to know about you, please include below:

When you submit this form, you are subscribing to my mailing list for future promotions from Margaret Hays Bariatric Dietitian. Of course, you can opt out at any time.

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