Coaching Application
Fill out this application so I can learn more about you to see if  custom coaching program would be a good fit for you.
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Email *
First name *
Where are you located? *
What are your top 3 goals for the next 12 months? *
What are you most wanting to achieve in the next 6 months in regards to your health and wellness? *
How can I help you to be more effective in working towards your goals? *
Here are some ways coaching clients work with me. Which of these appeal to you? (select any that apply) *
What energizes you in your life right now? *
What feels out of balance in your life right now? *
What approaches to change have you found less effective and frustrating for you? *
How would reaching your goals positively impact all areas of your life? What would that look like for you? *
On a scale from 0 to 10 (0 being not ready and 10 being extremely ready), how invested are you in order to make the necessary changes and improve your life? *
Is there anything else you'd like me to know? *
What is your instagram handle? (if you don't have one, put n/a) *
Thank you so much for your application. I look forward to reading it and will be in touch soon.
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