Escape From Emotional Eating
Focused Action Accountability Form

I’m looking forward to our next session together! Please be sure you are fully present and connected to yourself while honestly answering these questions.

Please submit your form no later than 24-hours prior to your next session to ensure Jessica has time to review and prepare for your call.

Know that your transformation starts as soon as you submit this form. So don’t be alarmed if you received inspired ideas, your behavior changes, or you experience unexpected miracles between the time you submit your form and the time we connect! That’s the power of this process 🙂

All responses are kept confidential and go directly to Jessica.

THANK YOU!

Name*
First Last
Email*
Time and date of your next Focused Action Call with Jessica*
CELEBRATE! What’s going well on your Escape From Emotional Eating journey? What do you want to acknowledge and appreciate about yourself? What are you proud of?*
RE-CONNECT: List your top 3 focused goals for your Escape From Emotional Eating Journey.*
What is your big WHY? (Why do you want to create your top 3 goals? Why are you on this journey?)*
ACCOUNTABILITY: Select which core practices you are currently engaged in to create what you desire:*
- Energy Management (OFTU, Fear Flush, Trigger Retraining, Clearing Your Mental Desktop, etc)
- Hunger & Fullness
- Movement Minimums
- Developing A Relationship With Your Higher Power
- Digesting Emotions
- Connecting With The Community Support Calls (Live or Recordings)
- Other (please describe below)
Other:
Anything you’d like me to know about your current engagement with your core practices?*
When was the last time you emotionally ate?*
Note: The definition of emotional eating means using food for a purpose other than fuel (like numbing, procrastination, distraction, escape, even digesting happiness.) Emotional Eating also means you were eating with abandon of all Hunger & Fullness levels.
If this happened since our last private call, please describe what you experienced.
List out your Accountability Actions from your last Focused Action Call.*
Please provide an update on these accountability actions. What was completed? What is still in process?*
What are you currently resisting in your journey to Escape From Emotional Eating?*
Please list 1 area of focus for coaching support for this Focused Action Call.*
Anything else you'd like me to know so our session can be of highest service to you?*
Phone
This field is for validation purposes and should be left unchanged.

Escape From Emotional Eating
Focused Action Accountability Form

THANK YOU!

© Copyright 2019 Jessica Procini, Your Path To Health LLC. All Rights Reserved. / PRIVACY & TERMS / Support@EscapeFromEmotionalEating.com / build: tall poppies

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Discover the Roots of Your Emotional Eating

Escape From Emotional Eating Focused Action Accountability Form

THANK YOU!

© Copyright 2019 Jessica Procini, Your Path To Health LLC. All Rights Reserved. / PRIVACY & TERMS / Support@EscapeFromEmotionalEating.com / build: tall poppies

Escape From Emotional Eating
Focused Action Accountability Form