SHIFT by Paradigm Nutrition Application Form
Name *
Email Address *
Instagram Handle *
Phone Number *
Preferred Method of Initial Contact *
Pronouns (i.e. She/He/They/Them/Her/Him/Other) *
What is your number one goal in health & fitness right now? If you achieved it, how would you feel? *
What have you tried in the past that had you feeling frustrated, miserable, or unhappy? *
What have you tried that made you feel confident, motivated and alive? *
What makes you excited about working with us in the Shift program? *
Describe your ideal coaching relationship and what is the coach's role is in your transformation/journey? *
What kind of client are you? *
Where do you need the most focus right now? *
Anything else you’d like us to know about you? Personality? Needs? Core Values? Anything that would help us getting a better sense of YOU. *
How did you hear about SHIFT? If you were you referred by anyone, please shout 'em out below! *
Lastly, have you budgeted for this investment in yourself? *
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