Lifestyle Coaching Inquiry Form
If you want to build a stronger body and mind, transform your physique, break through your glass ceilings and transform into the better version of yourself you dream of - without stepping on stage - this is for you.

Lifestyle coaching consists of 4 pillars: exercise, nutrition, lifestyle and mindset.
  • Exercise: custom workout programming to build and shape your physique.
  • Nutrition: macro targets with guidance and adjustments as needed.
  • Lifestyle: building time management skills, habits that compound, setting boundaries.
  • Mindset: understanding limiting beliefs, developing self confidence and self esteem.
Complete the details before and I'll send you a message to chat more!
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Email *
First & last name *
WhatsApp number *
Instagram account (so I can follow you!) *
Age *
Where are you located? City/country. *
Tell me about yourself in a few short sentences. *
Tell me about your goals that you'd like us to achieve together.
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Why are these goals important to you?
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What habits do you currently have in place in your lifestyle that supports these goals?
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What are you looking for in a coach?
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Which pillars do you really want to focus on for coaching?
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Required
Which one pillar do you believe is your highest need/priority?
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Have you ever worked with a coach/team before? If yes, with your past coaching experience(s), what was your goal? Did you achieve the goal? How long were you committed?
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What thoughts or beliefs do you have that may be holding you back from achieving success?
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Describe your current nutrition regime, habits, challenges? Please give details, like if you have certain macro targets, or a meal plan, or etc.
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What is your current exercise routine like? Please include sessions/week, training consistency, style of workouts, any cardio/steps, etc.
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Close your eyes and envision your best self. Who is she/he? Who do they want to be? How can I help you achieve this? Are you ready to go all in and help yourself?
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What drew you into my coaching services? *
Please note any really important information I should know about upfront before we connect. We'll get into the details later and discuss timelines and options. *
I require a minimum 6-month commitment, though most of my clients choose to stay longer and continually improve their self development and create new goals. Are you willing to spend a few hundred dollars per month to achieving this full body transformation?
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In the event that you encounter any difficulties or fail to receive a response from us within a 24-hour timeframe, I kindly ask you to reach out to me directly at courtneyforlife@gmail.com. Additionally, please check your junk mail or spam folder to ensure our response hasn’t inadvertently landed there. I look forward to the opportunity to connect with you soon!
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