New Customer Application
"I want to be a better me!" is what you said when you clicked this application. The hard part is done. You've admitted to yourself that you're ready to take control and you've reached out for some accountability! I am proud of you! However that is not the hardest part. The hardest part is jumping all in. By filling this out, you are by no means obligated to purchase anything. I want to make that 100% clear however if you are more likely to get the ball rolling and start achieving your goals if you have invested in yourself financially. Regardless of what you decide to do, this is what I can guarantee that you will get from me as your coach:

1) I will check in with you at least once a week, more if you feel like you need it.
2) I am not your mother and I will not hold your hand. What I will do is cheer you on but it is up to you to make sure that you're putting forth the effort.
3) I am a modifying queen! Need help modifying a move in a workout but don't know how? I can help you! Need to modify the modifier? I can help you! Need help substituting foods? Please let me put my culinary degree into action because I can help you!

Please take a few minutes to answer the following questions and I will be in touch with you shortly to set up a live video chat to get to know each other better!

Email address *
Full Name Please! *
Your answer
Where do you live? *
Are you currently a coach or working with a coach? *
Are we friends on Facebook or Instagram? *
If not, let's connect! Share your links to FB and IG below.
Your answer
How would you best describe your daily physical activity? *
How would you rate your overall satisfaction with your body? *
I hate looking in the mirror and avoid it whenever possible.
I love to just stare at myself!
How would you rate your nutrition? *
Terrible (cookies, candy, cake, junk food, etc)
Clean Eating Freak (100% Organic/Vegan all day every day)
What goals do you want to achieve? (Select all that apply) *
Is there anything else that I need to know?
Do you have any allergies, injuries, limitations?
Your answer
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