Application 1:1 coaching

Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Full Time Business OwnerSide Hustle OwnerEmployed Full TimeEmployed Part TimeCaretaker / Stay-at-home ParentNot Employed
PatientPractitioner
Poor. I don't take care of my health.Okay, but not great. Sometimes I do healthy things.Decent. I do my best to keep to a routine.Great. I have an optimal routine that works for me.
What are your 3 biggest struggles/obstacles with your health and wellbeing?*
What is the biggest change that you want to see / feel in the next 3 months?*
None.1-2 hours / week3-5 hours / weekDaily
No clue what I'm doing and why.I have an idea on what I want to do, but don't know where to start.I don't want much, I just want to be okay.I know exactly where I want to go and how I'm going to get there.
On a scale of 1-10, what is your level of commitment to achieving that change (10 being SUPER committed)*
What would be one thing you'd like to gain from this call with me?*
I have the financial resources to invest in improving my health, biz, energy and confidence. I'm ready to stop delaying and change my life!I will find the resources to invest in my health as I know this will also improve other areas of my life.I am not looking for any coaching, just applying for a one-off consult.
I agree
Last question: Tell me one thing that's awesome or super unique about you!*
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