Name
*
First Name
Last Name
Email
*
Have you worked with Rachel before?
Yes
No
Were you referred by someone?
*
Yes - by a GP or health professional
Yes - by a friend, family member, or teammate
No, I found you on my own
If yes, what's their name or clinic?
Gut & Digestive Health
Bloating
Irregular bowel movements (constipation/diarrhoea)
IBS diagnosis or symptoms
Suspected food intolerances or sensitivities
Low FODMAP support
Reflux or heartburn
Diagnosed IBD (Crohn’s or colitis)
Performance & Energy
Low energy or fatigue during training
Difficulty fuelling around training
Pre/post competition or event fuelling
Building muscle or improving body composition
Nutrition support for recovery or injury
Lifestyle & General Health
General healthy eating habits
Managing stress-related eating or symptoms
Women’s health (e.g. PCOS, endometriosis)
Cholesterol, blood pressure, or heart health
Supporting consistent habits and motivation
Other (please specify)
What’s your #1 goal right now when it comes to your health, energy or performance?
How long have these issues or goals been on your radar?
Less than 3 months
3-6 months
6-12 months
Over a year
How ready do you feel to begin working with a dietitian?
Ready to start in September
Just exploring, but open to starting soon
Not quite ready but want to stay in the loop
Preferred consultation type
In-person
Online (telehealth)
Either works for me
Want to stay in touch?
*
Would you like to receive health tips, updates, and early booking reminders via email?
Yes, please
No, thank you
🎉 You're on the waitlist!
Thanks so much for sharing your details - you're officially on the list to work with Rachel when bookings reopen in September 2025 .
We’ll be in touch closer to the time to offer you first dibs on available spots. In the meantime, keep an eye on your inbox for occasional updates, health tips, and early booking reminders (if you opted in).
Chat soon! — Rachel & Team