1-on-1 Coaching with Jennifer Kelley
This application is for my individualized private coaching & I am so excited to get to know you better.  Once I receive your application, I'll reach out to you within 48 hours with more information about what the 1:1 mentoring looks like & you can decide if it would be a good fit for you!
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What's your first name?
What's your last name?
What urged you to fill out this application?  What makes NOW a good time for you to start?
What would you most like to accomplish in working 1:1?
I encourage all of my clients to make a committment to themselves to "really do the work" during our time together, so they can evolve into the woman they truly want to become.  Practice makes progress.  Do you feel ready to meet this challenge?
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How old are you?
What is your email address?
What's the best number to reach you?
What city do you live in?
What's your instagram handle?
Are you satisfied with your health and weight?
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If you answered no, please explain what you'd like to change.
What do you think holds you back from accomplishing your goals?
What makes you want to work with me?
What hesitations do you have about 1:1 coaching?
Is there anything else you want to add that I might have missed?
In order to provide you the best results in our work together, I require a 3-month committment.  Can you commit to at least 3 months to begin?
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As a next step, I'd like to get on a 20-minute call so you can make sure we're a good fit!  Are you open to this?
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What is your ideal start date?
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If you were referred by a current client, please share their name:
By submitting this form, you acknowledge that Jennifer Kelley is a certified macro nutrition coach. She is not a registered dietician or physician.  She is ready to help you reach your mindset, health and fitness goals, but this program is not intended to be taken as medical advice.  It is recommend that you consult with your medical provider for approval and medical clearance before starting this program.  By submitting this form, you are accepting full responsibility for your actions.
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