Coaching Application

This application is designed to help determine if you're a great fit for the 90-Day Reboot, our science-backed, results-driven program for busy professionals over 40 who are ready to lose weight, rewire habits, and finally beat burnout—for good.

The program combines the proven Tiny Habits® Method, mind-body strategies, and personalized coaching to rebuild energy, restore focus, and create sustainable health routines that actually fit into your life.

Your answers will help us understand:

Where you are on your health, habit, and burnout recovery journey.

If you're ready to commit—both mentally and financially—to meaningful, lasting change.

If personalized support through the 90-Day Reboot will give you the clarity, momentum, and structure you need.

This isn’t a quick fix or a cookie-cutter plan. It’s a transformational experience for professionals who are ready to take back control of their health, stay consistent, and feel like themselves again—with more energy, confidence, and balance than ever before.

Please answer each question honestly and completely. Only applicants who are serious about investing in their well-being and ready to take action will be invited to join.

Full Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

Where do you want to be in 3 months? What's your big goal?*

Have you taken any action at all to reach your goals? *

Have you ever had a coach before?*

On a scale of 1-5, how important is it for you to overcome your obstacles and current mindset to achieve your goals?*

If we were to work together, what would be the ideal outcome or resolution for you?*

What's your annual income range?*

I operate only from a HECK YES in my life, and everything ELSE is a NO. If we should get on a call and it’s a HECK YES to work together, are you willing to make the investment in yourself to hire a coach?*

If we are to hop on a 15-minute phone call, will you be fully present and committed to our scheduled time?*

YesNo