Coaching Application Form

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Hey beautiful ! I'm so happy you're here. I would love to know more about YOU!

This application is for my signature program, Reclaim Your Well-being: Time to Thrive. Due the tailored and individual level of support you receive during this program, there is an application process. It MUST be a perfect fit for YOU and for me.

THIS PROGRAM INCLUDES:
A 3-month commitment
3x 1:1 Coaching Calls
Unlimited Access to Danielle via a Messaging App
Immediate Access to Wellness Resource Library.

I will ONLY be accepting HIGHLY motivated women who are committed to their health + well-being for the long term and are ready to implement changes.

After I review your application, I'll reach out via Instagram (check those DM's!) to those who are a perfect fit!

I can't wait to meet you, let's get fit and healthy together!!!

Which best describes where you are right now in your health + wellness? Check all that apply. *

I am ready to commit to myself FULLY in order to create the life I want. I'm ready to be the best version of myself so I can be there for my family.

I am ready to STOP putting myself at the bottom of my to-do list + take control of my time.

I am ready to figure out how to workout MY WAY. I'm done with the "shoulds" and "rules" and feeling guilty.

I'm ready to learn new things and assess if they are working EVEN if it feels tough and frustrating at first.

ALL THE ABOVE

Required

Email *

What is your name? *

What is your Instagram Handle? *

If accepted, please let us know how we should reach you -- Email or Instagram DMs?

Now, tell me your GOALS! Where do you want to be in 3-6 months from now? What transformation do you want to see in your life? Be specific! I've got you! *

What are 3 of your biggest challenges when it comes to your health + well-being? *

On a scale of 1-10, how stressed have you been in the last month? *

Not stressed

STRESSED AF

Why is now the perfect time to hire me as your coach and invest in yourself ? *

Why are you excited to join my program and client family? *

Do you take radical responsibility for your results? Are you willing and ready to show up fully, be coachable, stretch your comfort zone and be an ACTIVE client/? Are you ready to invest in yourself and your overall wellbeing at this level? *

YES! I take radical responsibilty of my results and am ready to show up FULLY for this investment . I KNOW I am capable of showing up for my goals. I am ready now.

NO, I am not ready.

6. If accepted into my program, realistically, how willing and able are you to make an investment in yourself, your health and your future? like butterflies in your stomach, nervous but exited AF investment! P.S. (Health Saving Accounts can be used.) *

$2000 paid in full

4 monthly payments of $600

6 monthly payments of $425

I need a more extended payment plan please

All of the above options would be a financial burden and I am not ready yet.

How did you find Danielle? *

Instagram

Tiktok

Podcast

Other

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