VIP Coaching Application
To apply for VIP Coaching please complete all questions.
Section 1: Nice to meet you!
Name
First Name
Last Name
IG Handle
E-mail
Cellular Number
-
Area Code
Phone Number
Gender
Age
Occupation
Tell me what a typical day looks like for you?
If you have any health considerations [thyroid, diabetes, PCOS, or other auto-immune or chronic illness] please share here.
Give me an overview of your past experiences pursuing a health, fitness, or performance goal [diet, exercise, what you liked/disliked, results, etc]
Section 2: Let's chat about your lifestyle & goals!
Please select areas that you struggle with [nutrition + training]
Social pressure with friends/family to eat/drink a certain way
Social pressure at work to eat/drink a certain way
I struggle dining out & choosing foods that leave me feeling satisfied but not guilty
I'm not sure how often to workout or what to do
I don't have a game plan for workouts, I just wing it.
I struggle to find time for my health + fitness
I struggle with body image more often than not
I have missed out on events & experiences due to being self-conscious of my body.
Please select areas what you struggle with [biofeedback + health]
Chronic fatigue and/or inconsistent sleep
Gut discomfort + bloating
Known gut issues [IBS, SIBO, disbyosis, etc]
Mid-day energy crashes
Wired & Tired in the PM [you know you need to sleep, but you can't fall asleep]
Brain Fog
Chronic Pain
What goals do you hope to achieve through VIP Coaching?
Weight Loss
Muscle Gain/Strength Gain
Toning Up
Weight Gain
Food Freedom
Improved Body Image
Hormone Healing
Gut Healing
Current behaviors/mindset you struggle with:
Body Image
Food Choice
Meal Prep
Binge Eating
Lack of Time
Scale Stress
Event Avoidance
Hungry but scared to eat more
Gym intimidation
Have you worked with an online coach before?
Yes
No
Section 3: Just a few more questions!
VIP Coaching is a minimum 5-month commitment, with many client staying on 9+ months. Are you willing to commit the minimum window of time for coaching?
Yes
No
Private coaching industry prices range from $350-$500. Are you ready to invest toward your health & wellness to be the best version of yourself?
Yes, I'm tired of wasting time and money on stuff that doesn't work
No, I'd rather keep winging it and hoping something sticks.
Functional nutrition coaching ranges from $400-$600/mo. We WILL do a thorough assessment to see what level of support makes sense for you. Are you prepared to invest toward your health & wellness to be the best version of yourself?
*
Yes, I'm tired of wasting time and money on stuff that doesn't work
No, I'd rather keep winging it and hoping something sticks.
VIP Coaching is a minimum 6-month commitment, with many client staying on 9+ months. Are you willing to commit the minimum window of time for coaching?
Yes
No
Please note: if you have selected 'yes' to both questions above, I am committing to a call with you with the understanding that you are willing and open to the time commitment and financial investment of coaching, and assured it will fit into your budget.
I understand, and I'm 100% ready to talk! 💪🏼
Can you reach out to me more so we can talk some before getting on a call? I would love to talk more about how this can fit into my life before we both commit to that time! 🖤
On a scale of 1-5, how ready are you to dive into coaching and transform your life?
1
2
3
4
5
Is there anyone else involved in the financial decisions regarding the coaching investment?
No, just me!
Yes, my partner is a part of the decision making process.
Does your significant other know you are applying for and booking a call to speak with me about 1:1 coaching?
Yes
No
How did you find out about VIP Coaching?
Instagram
Facebook
Current or Former Client
Which current/former client?
How would you prefer me to reach out to you?
Email
Instagram DM's
Text message
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