Trying to Conceive Online Coaching with Jordyn D'Arco
Fill out this questionnaire below so we can schedule a discovery call and chat! After filling out the form, you'll receive a text message from me to setup a phone call or video chat so we can further discuss your goals, programming, etc. If you have any questions feel free to email me at
or reach out to me via instagram @kettlebellsandkids
First & Last Name
Cell Phone Number (so I can contact you)
Select the option that best describes you
Currently Trying to Conceive
Planning to Start Trying to Conceive Within the Next 6 Months
No Plans for Conception in the Next 6 Months, but Want to Get My Body Ready
What workout programs/methods have you tried? Why do you think they haven't worked for you?
What is the number 1 goal you're looking to accomplish in the next 6 months?
How would your life change if you hit that goal?
How would you rate your nutrition on a scale of 1-10 (1 being I have no clue what I'm doing and eat like crap and 10 being I have my shit together and just need help with small tweaks)
What is your favorite flavor of ice cream? And if you happen to not enjoy ice cream then what's your favorite dessert?
Is there anything else you'd like to let me know before we chat?
Were you referred by a current or former client?
Are you willing to investing yourself to achieve sustainable results?
Yes, I know how important my health and wellness is
No, I just want free resources
Possibly, but I'd need to discuss it further
I'm here to help you provide the best possible home for your little one to develop in, but YOU are the one who has to put in the work. Are you 100% ready to commit and make a change?
Yes, I need the guidance and want to get into great shape before my child gets here!
No, I'm not ready to prioritize my health and fitness so I can be the best for my kids :(
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