1:1 Coaching Program Application
*Please HONESTLY complete all areas within this form.
*If your answers align with my coaching program, you will be contacted for a 15 minute discovery call to see if we would be a good fit!
First + Last Name
Please describe your everyday eating habits (what you eat, when you eat, + any other relevant information).
Please describe your current exercise habits (how often you workout, your workout routine, where you workout, + any other relevant information).
Please describe your current mindset habits (any routines related to personal growth), if any.
Please describe any past or current medical conditions, injuries, limitations, or other that I should be aware of?
What other programs have you tried in the past related to creating a healthy lifestyle (diets, workout programs, coaching, etc)?
Why do you want to create a healthy lifestyle at this point in your life?
What are your goals related to a healthy lifestyle (healthy eating, fitness, mindset, confidence, weight, etc)?
Where do you feel like you need the most help/assistance when it comes to creating healthier habits?
Describe what you would like your transformation to be (realistically) in 6 months.
Please choose the best days of the week below to have a 15 minute discovery call:
Please choose the best time of day to have a discovery call:
Please list any questions or comments you have below about this program:
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