You can always press Enter⏎ to continue
Welcome!
After filling out this short form, I will contact you via an email or text so we can set up a free call to see how I can support you in becoming your healed and beautifully authentic self!!
11
Questions
START
1
What's your
full name, age & Instagram handle?
*
This field is required.
Previous
Next
Submit
Press
Enter
2
What's the best
email address & phone number
to reach you?
*
This field is required.
This will only be used to set up your free consultation call
Previous
Next
Submit
Press
Enter
3
Awesome, where/what do you do for work? Knowing this gives me an idea as to who you are and what your lifestyle is like.
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Have you dealt with any eating disorders or disordered eating anytime in the past or even currently? Please explain so I can understand your journey a bit better :)
Previous
Next
Submit
Press
Enter
5
Tell me about what you hope to achieve while working together, what are some of your goals for the next 6-12 months? Specifically how do you want to feel mentally, emotionally & physically ?
*
This field is required.
Previous
Next
Submit
Press
Enter
6
Have you ever tracked Macros before (if so, how familiar are you with them on a scale of 1-10)?
*
This field is required.
It's okay if you've never even heard of them, I gotchu babe.
Previous
Next
Submit
Press
Enter
7
Have you ever done weight training (on a scale 1-10, how familiar are you with it?)
*
This field is required.
Previous
Next
Submit
Press
Enter
8
What made you pick ME specifically as a coach and why do you want to be on Team Resilient?
*
This field is required.
ARE YOU A HELL YES BABE WHO IS READY TO REACH YOUR GOALS NO MATTER WHAT?
Previous
Next
Submit
Press
Enter
9
How serious are you, on a scale of 1-10, when it comes to overcoming your struggles and achieving your goals?
*
This field is required.
(1 being not serious and 10 being very serious)
Previous
Next
Submit
Press
Enter
10
The purpose of this connection call is to see if you are a good fit for Team Resilient. Being on this team means investing in yourself. So if you aren't 100% ready for an investment, then this team won't be a good fit for you right now. Are you willing and financially able to invest in yourself?
*
This field is required.
I will invest whatever it takes to have an amazing relationship with food, love my body and reclaim my health & happiness.
Right now money is kind of tight, but I'm open to see what my options are on your team.
Not sure my health is worth a major investment right now, but I'm curious about the program.
Previous
Next
Submit
Press
Enter
11
Finally, Team Resilient is known to do everything with Intent. Listening with the intention of bettering yourself and your future and understand that results take time. So please agree to be thoughtful and open-minded as we work together to get you those results even if its not the timeline (or process) you had in mind. You have to trust the process.
*
This field is required.
I agree to being open-minded, thoughtful, and will trust the process.
I cannot agree to these terms at this present time.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
11
See All
Go Back
Submit