1:1 Coaching Application

Welcome!

This application is the first step toward working together through my For Her 1:1 Coaching program.

My coaching is supportive, individualized, and designed to help you build sustainable health habits that truly fit your life.

Many women come into this process feeling like they’ve “tried everything” — cutting carbs, tracking apps, joining challenges — yet nothing seems to last. Add in the hormonal shifts of perimenopause and menopause, and it can feel like your body just isn’t responding the way she used to.

Coaching with me is different. We simplify the process, focus on small, doable steps, and build a plan that supports this season of your life — not one that asks for perfection or restriction.

This application gives me a chance to learn more about you, your goals, and your current challenges so we can determine whether we’d be a good fit to work together.

If it looks like we may be a good fit, I’ll reach out within 72 hours and invite you to schedule a free consult call so we can talk through your goals and what coaching could look like moving forward.

Please answer honestly — there are no right or wrong answers. The more detail you share, the better I’ll be able to support you.

Name

Preferred Pronoun

Age

Height

Current Weight

Email Address

Where did you hear about my coaching?

Other

Goals (check all that apply):

Please provide a snapshot of your current nutrition by describing a typical day of eating and drinking.

Please describe your current exercise routine. Include types of exercise, how long your workouts usually last, and how many days per week you exercise. How long have you been following this routine?

Do you have any injuries (past or present)? Any surgeries and/or health conditions to note (i.e. Diabetes, PCOS, hysterectomy, gastric bypass, hypothyroidism, HRT, IBS, etc.)?

Which best describes your stress level?

Other

How would you describe your relationship with your body right now? What thoughts come to mind when you look in the mirror?

What motivates you to take care of your health right now?

What do you feel has been the biggest obstacle preventing you from reaching your health goals so far?

How do you think achieving your goals will change your daily life?

What have you tried in the past to improve your health or lose weight that didn’t work long-term?.

On a scale of 1–10, how ready do you feel to make meaningful changes to your health right now?

High level coaching requires a substantial investment of time and energy and starts at a few hundred dollars per month. Are you ready to invest--- physically, emotionally, and financially---in YOU right now?