One-on-One Nutrition Coaching Application

Information submitted in this form is confidential and only reviewed by Megan Lautz, MS, RD.

First Name *

Last Name *

Email *

What is your #1 goal that you want to achieve by working with me? *

What are your 3 biggest challenges with your health? *

On a scale of 1-10, with 10 being most ready, how ready are you to make an investment in yourself and your health? (My program and expertise starts at $400 a month) *