Wellness Coaching Questionnaire

  • Wellness Profile!

  • Please fill in all the fields below to complete the coaching application.  Once you complete the application, I will reach out to you to schedule a call so we can discuss your fitness & nutrition goals and see if this is a good fit. 

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  • Do you promise to answer all the questions below honestly?
  • Are you willing to walk away from tempting distractions that could inhibit your progress?
  • If I provide you with a path to reach your desired outcome, are you financially prepared to invest in Your health to get the results you desire?
  • When you achieve your desired goal will you let me use your testimony and story to help motivate and encourage others to take the same steps you have taken?
  • When you achieve your desired goal will you let other people know where you received your fitness coaching and refer? Will you help others find that same joy in being fit?
  • Do you promise to committ to yout fitness and nutrition goals and follow the directions to the best of your ability?
  • Do you promise to be committed to your fitness and nutrition goals and follow directions to the best of your ability?

  • Do you have access to a gym or equipment at home for home workouts? (Dumbbels, Free weights, booty bands, resistance bands, exerice ball, squat rack, etc)
  • For nutrition- how many meals per day do you prefer? ( including snacks)
  • Please rate your readiness for change.
  • What do you need the most help with?

  • How do you prefer to be contacted?

  • I am so excited that you decided to reach out to me to help you with your wellness goals! I can't wait to work with you! I'll reach out within 24 hours!
  • Should be Empty: