Program Questionnaire | Mind & Body Transformation

1:1 Mind & Body Mentorship Application
This is a 3-month mentorship program designed to empower you to unlock consistent, life-changing mind & body habits you how to create and sustain the body and life you love. Together, we'd design your personalized strategy...ultimately, your stress-free, simple plan that's 100% sustainable.

-- This application is to get to know you better, to see if this mentorship is a good fit for you.

You're probably a good fit if:

- You know there's more -- you want to show up as your best self mentally, emotionally, physically and spiritually...but just don't know how to get there.

- You've tried fad diets, programs, or products and didn't get results or couldn't sustain them.
- You're tired of wasting time and money on generalized diets/programs
- Your lack of confidence, patience and/or energy is affecting people around you, like your kids or spouse.
- You are determined and committed to making sustainable changes and ready to put yourself first for at least 20m per day.
- You are ready to learn, get uncomfortable, and change your life (not just your body)

I will personally review your application, and if I think my mentorship will work for you. Either way, I'll be in touch via text message & email to set up a time to discuss the details further and hopefully get you started on your new lifestyle.

I'm so glad you're here, and I'm thrilled to explore this path with you. 🤗 💜
Name*

First NameLast Name
Phone Number*
I will ONLY text you to book your appointment. So, enter a legit number if you really wanna get this show on the road! Format: (000) 000-0000.
Email*
example@example.com
What goal(s) are you hoping to achieve through a 1:1 mentorship?*
How long have you been working toward this goal?*
Intermittent FastingKetoLow CarbLow FatHIIT TrainingStrength TrainingRunningClean EatingSupplements / Pills / Meal ReplacementsDetoxesCalorie / Macro CountingMeal PlansSome other jazz I don't even know about!Other
Increasing ConfidenceDecreasing Negative Self TalkIncreasing EnergyEducating Yourself On How To Manage Your BodyRelearning Your Body In A New Phase of LifeRetooling Your Mindset To Unlock ConsistencyBeing More Present In The MomentFind More Joy & Fulfillment In Each DaySet Personal BoundariesImprove Time ManagementImprove Stress ManagementDevelop Healthier Lifestyle HabitsSet The Best Example for My Kids / Co-Workers / Family / Etc.Other
Why me? What makes you want to do this mentorship over other programs/products?*
Anything else I should know about you, or your goals?*
Where did you hear about me? And, go ahead and drop your social media name so that I can put your name to your face! :)*
how + instagram handle
I can make it all on my own!I need permission and/or approval before investing in myself.
Yes! I'm ready to start ASAP!Nope. I'm just thinking about it.
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1:1 Mind & Body Mentorship Application