New Client Interest Form

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Thanks for being here!

My coaching focuses on building sustainable nutrition habits and strength to attain your goals! This form helps me understand where you're starting and whether my coaching is a good fit for you.

If it looks like we're a good match, I'll send you a link to schedule a free 20 minute consult call where we can talk through your goals and next steps.

Full Name

What is your current goal? *

Fat Loss

Muscle Gain

Maintenance

Improve Overall Health

Increase Confidence

Find Balance

Other:

Required

What is your biggest challenge with nutrition right now?

Have you followed any diets or nutrition programs recently? Please list what you tried, how long you followed it, and what kind of results you got.

How will you know when you've reached your goal? How would it feel, how would it look in your body, your habits, and your daily life?

What hurdles or obstacles do you see getting in the way of meeting your goal?

How would you describe your current activity level? What do you do for exercise?

Do you have any health concerns you’d like to address or that I should be aware of?
(For example: insulin resistance, PCOS, thyroid issues, digestive concerns, etc.)

Do you have any previous experience with counting macronutrients?

How ready do you feel to commit to improving your nutrition and habits right now? *

Need more time and information

Let's do this today

Is there anything else you’d like me to know?

Thanks for filling this out!

I'll review your responses in the next 24-48 hours. If it looks like my coaching would be helpful for you, I'll send you a link to schedule a free consult call where we can talk through your goals and discuss next steps!

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