Women's Lifestyle Coaching

1

How did you hear about us?

2

What positive changes would you love to see in your daily life over the next 3 months?(Choose all that apply)

Have more energy and feel healthier each day

Build a balanced routine with less stress

Develop healthier eating and fitness habits

Improve confidence and self-care practices

Strengthen relationships and create more joy in daily life

Other

3

What are your thoughts about the holistic approach to health—caring for body, mind, and spirit together?

I strongly believe in it

I'm open and curious

I'm not sure yet, but I'd like to learn more

I don't agree with the holistic approach

4

When you imagine your healthiest, happiest self—what does she look like?

5

What’s the biggest challenge holding you back from living the lifestyle you really want?(Select all that apply)

Lack of time to focus on myself

Difficulty staying motivated or consistent

Confusion about what changes to make

Struggling with stress, overwhelm, or mindset

Not having enough support or accountability

Other

6

What kind of support motivates you most—encouragement, structure, or accountability?

7

I’m ready to invest in myself—either in full or through a flexible payment plan—to transform my life with this coaching.* This field is required.(Our plans are designed to be flexible and affordable, tailored to fit your unique situation.)

Yes!

8

Name

First Name

Last Name

9

Email* This field is required.

example@example.com

10

Phone Number* This field is required.

Area Code

Phone Number

11

I agree to receive updates by email, text, or phone so I don’t miss the next steps in my lifestyle coaching journey.* This field is required.

Yes!

12

Before we dive in, is there anything you’d like to share or ask?