Coaching Application Form

The purpose of filling out this application is discover if we are a good fit to work together in my 12-week, transformational coaching program.

Please only complete this application if: 

  • You want to stop feeling insecure in your skin, body, & clothes
  • You want to have the kind of Goddess confidence you see other women radiating!
  • You want to have a good relationship with food & stop restrictive dieting &/or binging
  • You're tired of stress-eating &/or going to food for comfort
  • You want to lose weight sustainably
  • You want to get fit & toned in a healthy way that lasts
  • You are willing to invest your time & resources for the "long game"
  • You are not looking for another "quick fix restrictive diet"
  • You want to be able to trust your abilities in the gym & exercise consistently
  • You want to have no fears in the gym like "not knowing what to do" &/or fear of people judging you
  • You want to be educated on the real nutrition & fitness science (the facts and *not* the fads)
  • You are open-minded & want to grow.. mentally, physically, & spiritually
  • You feel ready to dive deep, so you can transform the limiting beliefs that are holding you back from living your healthiest + fittest + most confident life!
If your application is accepted, you will have 5 days to secure your seat.

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Email *
Full Name *
Age & Birthday (month, day & year please) *
Please share a little about yourself. (work life, school, married, children, hobbies, etc.) *
IG Handle 
Do you struggle with negative body image & self-love? If so, please share more. *
Do you feel stuck right now within your fitness level and/or nutrition habits? *
Do you struggle with your food relationship? (Do you experience binge eating &/or purging, calorie obsession, or food guilt?)  *
How is your overall knowledge on nutrition?
 *
Have you tried dieting before? What kind of dieting? Was it successful & did the results last? *
Do you drink alcohol? *
Do you struggle with getting motivated to exercise? *
Do you currently exercise? If so, what kind of exercise & how many days/week? If not, how long has it been since you've exercised? *
What would it look like if you were the most healthy & fit version of yourself? What would you be doing? What would you be wearing? How would it feel in your body & in your life? *
What will happen if you don't change your current eating & bad habits? *
How do you want to feel in 6 months to a year from now about your food relationship, in your body, and within your fitness journey overall? *
What makes you excited about working with me? What do you expect from me as your personal Coach? *
Upon reviewing your application & should I decide that you would be a good fit for this program, I would like to ask... do you feel called to work with a Body Confidence, Food Freedom, & Fitness Mentor who has packaged 10 years' worth of fitness, nutrition science, personal development, & transformational work experience; 
and has helped tons of clients transform their relationships with food & their body, end binge-eating patterns, lose weight sustainably, and find a healthy lifestyle they love? 
Does this feel aligned for you?
 *
Have you budgeted & feel committed to make a financial investment in yourself - to transform your relationship with food, learn how to accept & cherish your body, change your limiting beliefs about your yourself, improve your overall health, and get the fit body & goddess confidence you reallyyy want? *
What concerns or objections do you have about committing to this transformative coaching experience?
 *
⭐️ NEXT, PLEASE CLICK "SUBMIT" BELOW⭐️ 

After you click "submit" you will be prompted to book a call with me. 📞 

I'm looking forward to connecting with you further. 
Let's get it, girl!
A copy of your responses will be emailed to the address you provided.
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