Coaching Application
Hi there!

Thank you for your interest in health coaching.

Please complete this short application for coaching so that I can best evaluate your needs and potential fit for 1:1 sessions. Your answers will help me to assess whether or not I think my particular style of coaching would be impactful for you, so please be as thorough as possible.

If we have never met, I will want to hop on a call with you to discuss your application. It's deeply important to me that we've spent some time together before deciding if moving forward together is the right next step for both of us.

Thank you for your time and I look forward to receiving your answers.

In community,

Jeannie
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Email *
What is your phone number? *
What is your name and what pronouns do you use? (ex. she/her, he/him, they/them, or other) *
Where did you hear about me? *
What are some challenges you currently or typically face when trying to meet your health goals? *
How satisfied are you in this area of your life? *
Not at all satisfied
Slightly satisfied
Neutral
Very satisfied
Extremely satisfied
Sleep
Stress
Excercise
Nutrition
What are your top 3 priorities for the coming year? *
Why are you interested in hiring me as your health coach? What do you hope to get out of it? *
What time zone are you in and when during the day would you be free to attend calls? *
When do you want to start coaching? *
Do you have any questions for me about my 1:1 coaching? *
Would you be open to jumping on a call with me to discuss your application? I don't embark on a coaching relationship with anyone I haven't met yet, and this is for both of our benefits. *
A copy of your responses will be emailed to the address you provided.
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