Postpartum 0-12 Months Online Coaching with Jordyn D'Arco
Fill out this questionnaire below so we can schedule a discovery call and chat! After filling out the form, you'll receive a text message from me to setup a phone call or video chat so we can further discuss your goals, programming, etc. If you have any questions feel free to email me at
or reach out to me via instagram @kettlebellsandkids
First & Last Name
Cell Phone Number (so I can contact you)
When did you give birth?
What workout programs/methods have you tried? Why do you think they haven't worked for you?
What is the number 1 goal you're looking to accomplish in the next 6 months?
How would your life change if you hit that goal?
How would you rate your nutrition on a scale of 1-10 (1 being I have no clue what I'm doing and eat like crap and 10 being I have my shit together and just need help with small tweaks)
Who is your favorite singer/band?
Is there anything else you'd like to let me know before we chat?
Were you referred by a current or former client?
Are you willing to invest in yourself to achieve sustainable results?
Yes, I know how important my health and wellness is
No, I just want free resources
Possibly, but I'd need to discuss it further
I'm here to help you become your strongest most confident self, but YOU are the one who has to put in the work. Are you 100% ready to commit and make a change?
Yes, I need to do this for myself and my kids!
No, I don't think I'm ready to live a healthier life :(
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