Consultation Call with Katie

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Thank you for taking the time to fill out this form. I am excited to support you as you navigate your health and wellness journey. Whether you are just starting or seeking to refine your current practices, this is a space to reflect on where you are today and where you'd like to go.

Your responses will help me understand what is most important to you, where you feel confident, and where you may need more guidance. This will allow us to maximise our time together during our consultation call (30 minutes) and ensure you get personalized, practical support.

Please take a few minutes to answer the following questions honestly and openly. There are no right or wrong answers—just insights that will help shape the next steps on your path to health, balance, and overall well-being.

I look forward to connecting with you!

Name *

Email *

Tell me where you are on your "Health & Wellness" Journey. *

Just Starting– I'm new to focusing on my health and wellness and seeking guidance on where to begin.

Inconsistent – I've made some progress but struggle with staying consistent in my practices.

Making Steady Progress– I’ve built some healthy habits and am starting to see results, but I still have a way to go

Plateaued– I’ve been working on my health and wellness but feel stuck and unsure how to move forward.

Feeling Balanced– I feel confident in my current routine but am open to refining and exploring new areas for growth.

Required

How did you hear about the Consultation Call? And why do you want to work with me specifically? *

What is your IG handle? *

Which one of these is bothering you the most right now? Check all that apply *

Stress & Anxiety– I feel overwhelmed and anxious, and it’s affecting my day-to-day life.

Lack of Energy – I often feel fatigued or drained, and it's hard to stay motivated.

Inconsistent Self-Care– I struggle with making time for myself and sticking to healthy habits.

Body Image– I’m not feeling confident in my body and it's impacting my self-esteem

Sleep Issues– I’m having trouble falling or staying asleep, and it’s affecting my health.

Physical Pain or Discomfort– I have ongoing pain, stiffness, or discomfort that limits my ability to move or exercise.

Work-Life Balance– I struggle to balance my work with personal time, which is impacting my overall well-being.

Lack of Focus or Clarity– I often feel scattered or distracted, making it hard to stay on track with my goals.

Digestive Issues– I’m experiencing bloating, discomfort, or other digestive problems that are affecting my energy and mood.

Motivation to Exercise– I know I should be more active, but I’m having trouble finding the drive or consistency.

Overthinking/Negative Self-Talk– I’m stuck in a cycle of overthinking or negative thoughts, which is making it hard to move forward.

Required

What is your biggest struggle? Or what is causing you the most stress? Why is this a priority right now? *

What are your goals? Why do you think you haven't hit them yet? *

If it turns out that we are a good fit for each other, are you ready to invest $1,997 for a 12-week 1:1 program? If not, why not? What's holding you back? We can chat about your concerns during this call. *

What day & time works best for the 30-minute call? Check all that apply

Monday - Friday 9am - 11am

Monday - Friday 2pm - 7pm

Saturday morning

Sunday morning

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