(SPECIAL NOTE: If you practice near any of the existing Centers for Overcoming Overeating, please understand that we would refer people to our own program, and therefore would not list your program; however, we will keep your name on file and when our programs are full, we will make the appropriate referral.)
To be added to the "OO Friendly Therapist List", please provide the following information (required fields are specified with **):
**E-mail address:
**Name:
**Street Address 1:
Street Address 2:
**City:
**State: Zip: Country:
**Telephone:
Do you currently hold OO group sessions? Yes No
Professional Background:
Please mark the book(s) you've read:
Overcoming Overeating: YES NO When Women Stop Hating Their Bodies: YES NO Preventing Childhood Eating Problems: YES NO
When Women Stop Hating Their Bodies: YES NO
Preventing Childhood Eating Problems: YES NO
Do you use these books with your clients? YES NO
**How specifically do you use the Overcoming Overeating approach as outlined in these books?
How long have you been doing anti-dieting work?
How did you find your way to the work?
What types of services do you provide?
What is your fee schedule?
Do you have other people working with you or for you? YES NO
Briefly tell us something about your philosophy and what you do. What are your goals for the people you work with?