Application for VIP Coaching 🌟✨

1

Full name* This field is required.

First Name

Last Name

2

Where are you based?* This field is required.

3

What made you apply today? What’s going on right now that made you go “okay, I need to do this”?* This field is required.

4

What are you actually trying to build?* This field is required.

A healthy body I feel confident in

A better mindset & relationship with food

Consistent habits that fit my real life

Confidence and self-worth that isn’t tied to a number on the scale or other peoples validation

A lifestyle I’m genuinely excited about

Other

5

How ready are you to actually do the work?* This field is required.

I’m all in; I’ve made the decision and I’m ready to invest in myself

I’m motivated but I struggle with consistency and need accountability

I’m interested but still figuring out if now is the right time

I’m just exploring my options

6

Have you worked with a coach or tried programs before? What happened?* This field is required.

7

My 1:1 coaching is an investment of time and money because it’s high-touch and personal. Are you in a position to invest in yourself right now?* This field is required.

Yes, I’m ready to invest in the right fit

Yes, but I’d want to understand the details first

Not sure / it depends

No, not right now

8

Anything else you want me to know?

9

Which form of contact is best to reach you at?

email

text

instagram

10

Email* This field is required.

example@example.com

11

Instagram handle* This field is required.

12

Best number to reach you

Country Code

Area Code

Phone Number