Erin Stimac Healthy Lifestyle Coaching Application
If you are interested in working with me, please fill out this form and I will be in touch to set up a free consultation to chat about your goals. If I don't think it's a fit, I should be able to point you in the right direction.
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Name *
Email *
Phone Number *
Which service are you interested in? *
Required
How did you hear about me/my services? *
Tell me what a typical day's food intake looks like for you. Meals, times, snacks, drinks, alcohol, caffeine, etc. The more detailed the better. No judgment. :) *
What changes would you like to see in regards to your health & fitness? Why do you feel like you want/need to change? *
What do you feel is holding you back from achieving the above? *
Do you feel like right now is the right time for you to take action towards reaching the above? If so, why now? *
Are you currently in an exercise or fitness routine? *
If you are in an exercise routine, tell me more about that:
What would success in reaching your health & fitness goals look like to you? *
On a scale of 1-10. How committed do you feel you are to making changes and following through on those changes? *
Are you ready to make a financial commitment to make your health a priority? *
Anything else you'd like me to know before we chat?
What are the best days and times to chat for about 30 minutes to see if we might be a fit to work together? *
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