Application For Coaching
Hi, I'm so glad you're here! If you are in perimenopause/menopause and are tired of feeling defeated in this stage of your life with your weight, low energy levels, fluctuating hormones, feeling depressed or anxious, and wanting to exercise but you're not sure what to do,  you are in the right place!
Please take just a few minutes to watch the video and complete this form so I can get to know a little more about you, and we can see if my program would be a good fit in helping you reach your nutrition and fitness goals so you can enjoy this stage of your life.
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Name *
Email *
What is your biggest struggle at this time in dealing with peri/menopause? *
If you could reach your healthy weight, find more energy, boost your metabolism, and feel good again, what would that  mean to you/how would your life look?
What do you feel is holding you back, or standing in your way, of reaching your desired weight and/or just  feeling good again?
What have you tried before to resolve your current struggles?
What are you looking for in a nutrition coach?
If you were in this exact same spot health wise in 6 months from now how do you think you would feel?
Would you be okay with being in the same place?
How motivated are you to manage your weight, improve your fitness, and learn to manage your hormones and your mood/mental health with nutrition and exercise? *
If you are a good fit for my program, and are ready to feel good again, when are you looking to get started?
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If you have any reservations about investing in coaching please list them here...
Is there anyone else who needs to be involved in this decision? If so, how do they feel about you working with a nutrition/fitness coach to help you achieve your goals?
What things do you see as more valuable to invest time and money in, that's more important than your health?
What price range are you willing to invest in yourself to help reach your goals of improving your health and feeling better? *
How did you hear about this program?
I will be in touch with you soon, what is your preferred way for us to communicate? *
What is your social media name/handle and/or your phone number if a call is desired
Thank you for completing this form, I will review and be in touch with you soon!                                                                                                                                          
Please note this program is not for women who have an active eating disorder

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