CONGRATS!
The fact that you've even clicked on the link to this application means you care enough about your health, happiness, & relationship with food to look into coaching. This application is an opportunity for me to see if & how I can help you. I only take on women who are ready to do what it takes to change their lives & I absolutely want to be certain that you would be a great fit for my team & program. I will review your application & reach out to you within 48 hours 😊
Name
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First Name
Last Name
Email
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example@example.com
What's your instagram handle?
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Cell Phone
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Area Code
Phone Number
Date of Birth
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Year
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Month
Day
Date
All about YOU, your goals, & your history:
What do you do for a living/occupation?
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What is your height & weight?
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Tell me all about your goals! I want to know what you're looking to accomplish through coaching with me. No goal is too big & no goal is too insignificant
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What will your life look like/how will you feel if you don't reach those goals?
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What (if any) diets have you tried in the past? Did they work? Were they sustainable? Why did you stop?
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Which of these do you struggle with?
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Food Cravings
Emotional Eating
Staying focused on weekends
Time Management
Meal Planning/Meal Prepping
Support from family, friend, coworkers
Working out consistently
Nothing, I'm ready to go
Other
Do you have any diagnosed health problems, physical limitations, or any history with eating disorders?
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Explain your current fitness/exercise routine. What kinds of workouts do you do? How frequently? Are you working with a trainer?
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What is your experience with tracking macros or calories? If you are currently tracking, please tell me what your macros are now & how much weight you've been gaining/losing a week on those macros. If you're a total newbie--don't worry! That's my specialty ;)
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How supportive are the people in your life with your desire to reach your nutrition/fitness goals?
What makes you want to work with my team specifically?
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Are you ready to make a financial INVESTMENT in your overall mindset, health, relationship with food & MORE, for a minimum commitment of 6 months?
I'm just interested in nutrition coaching (375/month)
I want nutrition & fitness coaching for sure (425/month)
I'm not sure which option is right for me!
I hear you have an afterpay option that after a credit check could be as low as 98/month? #accessibility
I understand that EmPowered Coaching is a TEAM (a team of TWO but a team nonetheless) so should I sign up I will be assigned to the coach that best fits my goals!
Yes, I understand
I have a preference, but okay
Would you prefer to have a Zoom 1:1 face to face call with Emily, or have Emily send you a personalized video going over your application, our plan for you, and showing you exactly what you get with 1:1 coaching + pricing options?
I want to chat face to face!
I want Emily to send me a recording #introvert
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