1:1 Postpartum & Beyond Fitness and Wellness Coaching Application for Mamas!
Hello, beautiful Mama! I’m thrilled you’re considering 1:1 coaching to support your postpartum journey and beyond. My coaching integrates stretching, calisthenics, journaling, affirmations, intermittent fasting, and manifestation to help you feel strong, empowered, and aligned with your wellness goals. This application will help us see if we’re a great fit to work together. Please take a few minutes to answer the questions below honestly and thoughtfully. I can’t wait to learn more about you!
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
How many children do you have, and what are their ages?
How far postpartum are you?
Less than 6 months
6-12 months
1-2 years
2+ years
Not currently postpartum but seeking wellness as a Mama
What are your primary goals for fitness and wellness coaching? (Select all that apply)
Rebuild physical strength and energy
Improve flexibility and mobility through stretching
Incorporate calisthenics for functional fitness
Develop a consistent journaling or affirmation practice
Explore or optimize intermittent fasting
Manifest personal goals (e.g., confidence, self love, abundance, wealth, love, health)
Other
If other, please elaborate.
What specific challenges are you facing in your postpartum or mama wellness journey? (e.g., low energy, body confidence, time constraints, overwhelm, etc.)
What do you hope to gain from 1:1 coaching? (e.g., a stronger body, mental clarity, a sustainable routine, a deeper connection to yourself)
Do you have any experience with the following? (Check all that apply)
Stretching routines
Calisthenics or bodyweight exercises
Journaling or affirmations
Intermittent fasting
Manifestation practices
None of the above
If you have experience, briefly describe what's worked or hasn't worked for you:
Have you worked with a fitness or wellness coach before? If yes, what was your experience like?
What is your current daily routine like as a Mama? (e.g., managing work, childcare, household tasks, etc. to help me understand your time constraints)
What is your availability for coaching sessions and self-care practices? (e.g., mornings, evenings, specific days, time zones)
How comfortable are you with virtual coaching sessions?
Very comfortable (Zoom, phone, etc.)
Somewhat comfortable
Prefer in-person (if applicable)
Not sure, open to discussing
How committed are you to prioritizing your wellness and taking action toward your goals?
Extremely committed - I'm ready to make time and changes!
Moderately committed - I want to, but I'm juggling a lot.
Still exploring - I'm curious but not sure yet.
What is your budget range for coaching? (This helps us align expectations; specific pricing will be discussed later.)
Under $300/month
$300-$600/month
$600+/month
Not Sure
How did you hear about my coaching for Mamas? (e.g., friend, Instagram, website, mama group, etc.)
Is there anything else you'd like me to know about you, your journey, or goals as a mama? (e.g., health conditions, specific dreams, or challenges you're facing)
Next Steps:
After you submit this form, I’ll review your application with care and reach out within 2-3 business days to schedule a complimentary 30-minute discovery call. During this call, we’ll explore your goals, discuss how my holistic approach (stretching, calisthenics, journaling, affirmations, intermittent fasting, and manifestation) can support you, and see if we’re a perfect fit to work together. By submitting this form, you agree to provide honest information to help us create a coaching plan that honors your needs as a mama. *Disclaimer: Your information is confidential and used solely to evaluate your coaching application. Please consult your doctor before starting any fitness or intermittent fasting program, if necessary.
Submit
Should be Empty: