Apply for 1-on-1 Coaching with Rachel Lajoie
Ready to take the first step towards transforming your health?

This confidential application will help determine if we’re a good fit to work together. I will review your application and, if selected, you’ll get an email within 3 business days to schedule a phone interview!

First name
Your answer
Last name
Your answer
Best e-mail to reach you
Your answer
Phone number (or Skype username if outside USA)
Your answer
What are your biggest health challenges?
Your answer
How do these challenges affect other areas of your life?
Your answer
How do these challenges make you feel?
Your answer
How important is it for you to resolve these issues right now?
Not important - I'm happy with my health as it is
Extremely important - I'm ready to show up in the world as the best version of me
Why do you want to work with me specifically?
Your answer
Rachel, if I decide to work with you and am selected, I'll find a way to invest in myself and in my future.
Submit
Never submit passwords through Google Forms.
This form was created inside of Mind Body Joy. Report Abuse - Terms of Service - Additional Terms