Let's Figure Out What Your Body Needs Right Now
If you've been feeling frustrated with your body lately...you're not alone. Fill out this quick assessment so I can better understand what you're struggling with and how I can best support you in this season of life. I'll personally review your answers and reach out within 24 hours. -Tiffany
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Age
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What are your top 2-3 health & fitness goals right now?
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If you could feel ONE thing differently 3-6 months from now, what would it be?
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What do you feel is holding you back from reaching your goals?
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Lack of Time
Hormonal changes
Not sure what to eat
Inconsistent exercise
Low motivation
No one to do it with/lack of support
Emotional eating/cravings
Lack of sleep
High stress
Which symptoms or struggles are you currently experiencing? (Select all that apply)
Weight gain despite trying
Belly fat that feels harder to lose
Low energy or fatigue
Poor sleep
Increased cravings or emotional eating
Feeling inflamed or puffy
Mood swings/irritability
Feeling overwhelmed or stressed
Loss of strength or muscle tone
Joint aches or body stiffness
Hot flashes/night sweats
Brain fog or trouble focusing
Low motivation
Feeling uncomfortable or not confident in my body
I don't feel like myself anymore
What have you tried in the past when it comes to workouts or nutrition--and why do you feel it hasn't worked long term for you?
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Have you ever tracked your food using portions, calories, or macros?
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Yes, regularly
Yes, but not consistently
No, never
Which nutrition style feels like a better fit for you right now?
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A simple portion based guide I can easily follow
A macro based plan with specific protein, carbs, and fat targets
What forms of exercise do you enjoy doing most or want to try? Select all that apply
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HIIT Workouts
Pilates/Yoga
Barre
Weight Training
Dance
Cardio
Kickboxing
Running
Walking
I haven't been doing anything so not sure where to start
What equipment, if any, do you have at home right now?
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Dumbbells, various weights
Resistance Bands
Resistance Loops
Sliders
Treadmill
Indoor Cycle bike
Elliptical
Which one do you relate to the most when it comes to exercise?
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Beginner
Getting back into a routine
Consistent but not seeing results
Experienced exerciser
On a scale of 1-10, how ready are you to finally prioritize yourself and start feeling better again?
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Lastly, I want to make sure that you stay safe & feel your best. Do you currently have any medical conditions, injuries, or guidance from your doctor that might affect your workouts or nutrition plan?
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Thank you for sharing your story...
...every woman’s journey in midlife is unique, and your answers will help me help you. Once you submit this form, I’ll personally review your answers and reach out with next steps.
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