STEP 2 - CAN YOU TELL US A LITTLE MORE?

WE REALLY WANT TO TAILOR OUR SUPPORT FOR YOUR INDIVIDUAL NEEDS. YOU CAN HELP US BY TELLING US MORE ABOUT THE FOLLOWING:

    1

    What kind of foods are you eating?

    2

    How many times do you eat each day?


    meals


    all day long

    PER DAY

    3

    Do you eat when you're...

    ANGRYBOREDEMOTIONALFRUSTRATEDHAPPYSTRESSED

    4

    How much do you spend on food in a week?

    £

    £

    OR LESS

    (£)PER WEEK

    5

    How does it negatively impact on your life?

    6

    What's the impact on family and friends?

    7

    Have you been diagnosed with anorexia or bulimia or any other mental health condition?

    YESNO

    8

    What have you tried in order to stop before?

    9

    Why do you want to stop now?

    10

    How much support do you think you need?

    11

    What does your life look like free from the addiction?

    12

    Do you have any underlying health conditions or diagnosed health conditions? (Please give details here)

    13

    About You


    14

    Your Contact Details



     

    By ticking this box, I consent and agree to the Privacy Policy and Terms and Conditions of Beat My Addictions (The Law Of Addiction Ltd.)



    Beat My Addictions is committed to protecting and respecting your privacy, and we’ll only use your personal information to provide you with support, information and the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. In order to provide you with the content requested, we need to store and process your personal data. You can find out more about our use of your personal data on our privacy policy page.

    SIGN UP TO OUR NEWSLETTER

    COPYRIGHT 2026. THE LAW OF ADDICTION. ALL RIGHTS RESERVED

    Request a callback

    Request a callback

    *Required




      Your data is important to us. We take every care in ensuring that any data you submit on this website is secure and safe. For more about your privacy, please Click Here