I'm so excited that you are interested in taking control of your health and wellness and that you are trusting me to help hold you accountable on your journey. This form is to let me know where you are and to better understand your goals. The information that you share with me will not be shared with anyone else so you can be super honest. This is a safe place.
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First and last name
How would you describe your current relationship with your mind and body?
Develop Healthy Habits
Build Confidence (mind and body)
What is your long term goal? (7-12 months)
What is your current workout regimen?
What is your current nutrition regimen? This is a safe space so I would love for you to be completely honest. There will be no shaming. I need your honesty so I can see exactly how I can help you. This info will NOT be shared with anyone.
Do you have any dietary restrictions? Vegan? Plant based?
Are you currently using any supplements?
Do you have any experience working with an online coach?
What program are you looking to dive into?
I'm looking for a new fitness and nutrition program.
I'm looking for ONLY a nutrition program.
I'm ONLY looking self-love, mindset, and body confidence coaching
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