Carrots 'N' Cake 1:1 Coaching Application
This questionnaire should only take about 10 minutes to complete. Consider it your first coaching step and an investment in yourself!

*** Once you submit your application, you will have the option of scheduling a discovery call ($99) with Tina via her calendar link ( It's not required, but it is definitely helpful to learn more and ask any questions you might have about the program and potential hormonal testing. You're also welcome to asked questions via DM on Instagram @carrotsncake.

Quick note: Please only apply if you are a serious applicant. Our program is a 6-month total transformation, and it's the most deep-dive program we offer. If you are not ready to commit time, energy, and space to the process, please wait and apply later when you are ready. Our goal is to help you achieve the BEST possible results using a personalized approach, which involves diet, lifestyle, and mindset.
Email *
First name *
Last name *
Phone number *
Birthday (Age) *
Gender *
What's your Instagram handle?
Occupation *
What's your current activity level? Please tell us about your typical exercise routine (i.e. type of exercise, duration, days per week). Please be as specific as possible. *
What are your goals? Please be as specific as possible (i.e. lose weight, add muscle, look and feel better, learn how to stay consistent, have more energy, etc.). *
What are your biggest struggles when it comes to healthy eating? Please check as many as apply. *
On a scale of 1-10, how knowledgeable are you now about making smart food choices? *
I know very little
I'm a nutrition expert
What nutrition programs or diets have you tried in the past that have not worked? *
Are you currently pregnant, postpartum, breastfeeding, or trying to conceive? *
Do you have a diagnosed health problem? If so, please elaborate. *
Have you track macros in the past? *
What do you REALLY want to achieve by working with a coach? What awesome things would happen? *
What do you think is holding you back from your goals? *
Do you consider yourself open-minded and willing to try new ways of thinking? *
How do you like to be coached? Do you prefer a warm-fuzzy approach or tough love? What approach do you respond to best? *
On a scale from 1-10, how committed are you to achieving your goals? *
Not committed
I'm ALL IN. Let's do this!
Working together is a 6-month commitment so that we can use nutrition & lifestyle changes most effectively. Is that a problem for you? *
Our high-level coaching program requires a significant investment starting at $2,400. Are you ready to invest in yourself? *
Are you interested in functional testing (i.e. hormones, food sensitivities, gut, etc.) *
How'd you hear about Carrots 'N' Cake Nutrition? *
Anything else you'd like for us to know?
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