Application Form: Mind Body Bliss Coaching

Hello Love,

If you've been doing all the right things but still feel stuck, overwhelmed, or unsure where to turn next—breathe. You're not broken. You're just ready for a different kind of support.

I’m Kelley (she/her)—a certified personal trainer, nutrition coach, with an MSc in the Psychology & Neuroscience of Mental Health. For nearly a decade, I’ve helped people rebuild trust in their bodies, reconnect with their energy, and create lasting change from the inside out.

This form is your first step, not a commitment, but a conversation starter. I take on a small number of private clients at a time, and I want to make sure our work together would truly serve you.

I work best with women who are:

  • Ready to invest in themselves emotionally and energetically

  • Open to developing self-awareness and personal accountability

  • Excited by the idea of long-term change, not quick fixes

If that sounds like you, take 5–10 minutes to fill this out with honesty and heart. If it feels aligned, I’ll be in touch to schedule a discovery call where we can meet, ask questions, and see if we’re a powerful fit.

Speak soon—with care, clarity, and a little fire,
Kelley
Mind Body Bliss

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Email *
What's your name? *
What are your pronouns? *
What's the one thing you want to achieve in the next 6-12 months with your health and fitness? *
What is currently holding you back from achieving this goal? *
Do you understand that this is a bespoke coaching service created specifically for your needs? *
Are you ready to commit to a 3 Month transformation program with me? *
Are you excited to show up each week to the online check-in calls? *
Are you ready to invest in your future and goals? *
Are you able to make a decision about the coaching program on your own or do you need to consult with someone else? *
A copy of your responses will be emailed to the address you provided.
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