Apply for 1:1 Coaching with Kristin

Apply for 1:1 Coaching with Kristin
Name

First NameLast Name
Email
example@example.com
City/Suburb
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Occupation
Gender
Date of Birth

MonthDayYear
Date
Age
Height (in CM)
Weight (in KG)
Instagram handle
What goals are you hoping to reach with my support?
E.g. gut/hormone health, build muscle/or drop body fat, comp prep...
Do you have any medical conditions? e.g. Diabetes, Crohns, PCOS, Endometriosis, Autoimmune etc
What is your current diet like? - Please be specific - what foods are you currently eating, how many meals per day etc
Do you have any food intolerances/allergies?
How is your libido like?
Do you have children? If so, how many?
What supplements and medications (if any) are you currently taking?
How are your stress levels?
What do you do for exercise?
This can include: Weight training, walking, yoga, etc
Do you have any injuries or limitations?
Gut health: Do you suffer from any of the following?

Other
Lifestyle + Mental: Do you regularly experience any of the following?

Other
Do you wake up frequently through the night to pee?
Do you experience hot flushes or night sweats?
Do you feel dizzy when exercising?
Do you experience energy crashes throughout the days? If so, what time of the day roughly?
FEMALE ONLY: Do you get a regular cycle?
Does it arrive on time? Do you experience heavy or bleeding.. etc
FEMALE ONLY: Are you on birth control?
FEMALE ONLY: Do you experience sore breasts or aches around your cycle?
FEMALE ONLY: Do you experience stomach pains during ovulation, and/or during your period?
Do you experience pain on one side of the stomach? If so, which side?
Anything else you would like me to know about your health/lifestyle?
Are you ready to invest in your health and begin a coaching journey with a minimum 12-week commitment? Investment is up to $2,080 AUD (a payment plan is available if needed)
When are you looking to take action on your health goals?
How would you like to be contacted?
Please allow 24-48hours for a response. If you are wanting an email response, please keep an eye out in your spam/junk mail aswell.
Should be Empty:

Apply for 1:1 Coaching with Kristin

Please allow 24-48hours for a response. If you are wanting an email response, please keep an eye out in your spam/junk mail aswell.