Accountability Form

Hey there beautiful soul,

Holistically Fit Prenatal is a total health and mindset make over.

The mind body connection is the most important connection that you can master.

You cannot attain perfect health and balance without one or the other.

Please answer the following questions openly and honestly so that I can provide the most value for you on our call.

I cannot wait to connect with you!

Name*

First NameLast Name

Email*

Phone Number*

How old are you? *

How long have you been trying to conceive? *

Are you open to including animal protein in your diet?*

YesNo

What is your current nutrition and movement routine? Ie. 20 Minute home workout Monday, Wednesday, Thursday with a 1 hour run on the weekend. Nutrition: Breakfast = 2 x eggs, Lunch = Sandwich with ham and cheese + fries, Snack = chocolate bar, Dinner = Pasta with bacon and cheese, Pre-bed snack = rice cakes.*

What physical goals are you looking to achieve? *

Are there any mindset shifts you are looking to make?*

HONESTLY, Why Haven't You Reached These Goals Already?*

Do you struggle with emotional eating? (Binge eating, over eating, restriction, counting calories, obsession, etc.) If yes, please elaborate!*

Do you struggle with anxiety and/or depression?*

YesNoSometimes

What does your relationship to yourself and your body look like? *

Are you willing to make changes to achieve your goals?*

YesNo

Are you willing to be open and honest with me? This makes for the best experience!*

YesNo

If we both feel like its an absolute YES to work together, are you willing to put down the financial investment to hire a holistic practitioner?*

YesNo

When we schedule our call, do you have the ability to make the financial decision yourself at the time of the call, or do you need to consult with your partner?*

Yes, I make all financial decisions on my own.No, I will need to discuss this with my partner.

What country do you live in? If you are located outside of the US or Canada, please provide your WhatsApp handle/number and I will call you on there!*

Do you have the financial ability to invest in a coach at the moment?*

Yes I have substantial income to invest in myself.Maybe but I am willing to come up with it.No I do not have the resources right now.

Transformation Interview