Hey Sister!
Congrats! You're one step closer to feeling energized, confident, and at peace in your body again. 💛 Take a few minutes to complete this short questionnaire so I can learn more about your health journey and determine whether we're a good fit to work together.
To confirm, you're filling this out because you're ready to restore your hormones naturally, heal your gut, overcome fatigue, anxiety, and hormone chaos, and learn how to care for your body as the gift it was designed to be...so you can feel healthy, energized, and fully equipped to live out your God-given purpose. 💛
Yes - I’m serious and ready to learn how to heal my body & feel my best without starving myself or missing out on life.
Nope - I'm not quite ready for coaching, but I'd like to learn more about root cause healing
Name
First Name
Last Name
Which of the following best describes your goal?
I want to lose stubborn weight, heal my gut, regain the energy I once had, nourish, support, and feel confident in my body again.
I want to restore my hormones naturally, heal from burnout, reduce anxiety/depression symptoms, and all in a way that's aligned with my Christian/Catholic faith
I want to banish PMS symptoms (painful periods and mood swings), feel confident in my skin + build a sustainable, healthy relationship with food.
I don't have specific goals, but I know my current approach to nutrition, lifestyle, and my health isn’t sustainable long term.
I have no clue, but I know I want to invest in my health and personal growth now to avoid expensive medication/hospital bills in the future.
Other
Tell me more about the current state of your health, the goals you'd like to work towards, & what you hope to achieve working with me?
What programs, products, or strategies in the past have you tried that haven’t provided the results you were hoping for?
I want you to take a minute & think about how different your life would look in 6 months if we started working together towards those goals you stated above...How about 1 year from now?...On a scale of 1-10, how serious are you when it comes to reaching these goals, & overcoming these struggles?
*
ehh not too concerned...
1
2
3
4
5
6
7
8
9
I'm ready to change my life!
10
1 is ehh not too concerned..., 10 is I'm ready to change my life!
Where/what do you do for work? (occupation)
Work environments have a huge impact on stress, and therefore weight loss. This helps us understand what kind of obstacles we'll be up against.
Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide.)
*
Yes, I have a significant other and they are very supportive
Yes, I have a significant other, but this is my decision to make.
Yes, I have a significant other, but they need to be on the call with me to make a joint decision.
No, I'm single and make my own rules, lol
I got to know--how'd you find me & what made you think we'd be a good team?! Were you referred by someone? If so, please let me know who so that I can thank them!
One final question 💛 Lasting healing requires more than information...it requires commitment, consistency, and support. The women who see the best results in my programs are willing to invest not only financially, but also with their time, energy, and effort over the course of several months. If we determine we're a great fit to work together, are you prepared to make that level of investment in your health and healing journey?
Right now! I'm ready to invest in myself and prioritize my healing.
Right now! I'm resourceful and will make it work...I just want to feel better!
Not right now, my cash flow is month to month and I have no access to credit, but I'd love to be added to your email list for free health tips!
Back
Next
Contact Information
Please confirm this is correct so that we can schedule your free strategy session.
Email
example@example.com
What's your phone number? (include area code)
Please enter a valid phone number.
Format: (000) 000-0000.
Thanks, sister! 💛 If we end up being a great fit to work together, know that I take that responsibility seriously.
As your health detective, coach, and biggest cheerleader, my role is to help you uncover the root causes behind your symptoms, create a personalized plan, and support you every step of the way. Your role is to show up with an open mind, a willingness to learn, and a commitment to taking small, consistent action.
Healing is not about finding the perfect supplement or bandaid fix.
It's about building sustainable habits, learning HOW to listen to your body, and making changes that create lasting transformation. And if it turns out we're not the right fit, that's okay too! I'll do my best to point you toward resources or practitioners that may better support your needs. Either way, I'm honored you're here, and I can't wait to learn more about your story. 🌿
Once you submit this form, I will reach out to you to book a clarity call with me. Can't wait to meet you! 💛
Submit
Should be Empty: