Learn More: Coaching
Hi there!

The purpose of this survey is for me to get to know you better. I believe that it's important to have a strong match when it comes to a coaching relationship- so please be open and honest here.

In-Person Coaching
Online Coaching
Hybrid Programs (include both)

Coach Lily
@lilybirdlifts on instagram

Complete this application & Coach Lily with contact you within 48 hours of your form submission to book your free, no-pressure consultation.
Full Name *
Your answer
What is your instagram name? (if you don't have an account that's ok!) *
Your answer
Phone Number (to confirm details/ask questions if necessary) *
Your answer
Best Email: *
Your answer
I'm interested in... *
Thank you for completing that information! So please tell me...What are your biggest challenges when it comes to achieving your health and fitness goals? *
Your answer
What have you tried to do to resolve your health and wellness challenges? How did it go? *
Your answer
What is not resolving your health and wellness issues costing you? (include physical and emotional examples if applicable) *
Your answer
What do you want instead? What’s your vision? *
Your answer
Is there anything else you'd like to share? Please write below: *
Your answer
Last question- On a scale from 1-10, how committed are you to improving your health and wellness? *
I'm still thinking about changing
I'm ready to change my life!
Thank you for your application!
Coach Lily will contact you within 48 hours with more details
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This form was created inside of Lily Fontas.