Coaching Application

This application is an opportunity to join Flourish Onward as a 1:1 coaching client. Filling out this form does not mean you must commit to coaching.

Input your information below. If we're a good fit for each other, I will reach out to set up a zoom call to discuss your goals and working together.

What's your name?*

First NameLast Name

What's your email address?*

example@example.com

How did you hear about me? Did anyone refer you?

What would you like to work on together? Choose as many as you like.*

Develop better eating skillsImprove my eating habits / patternsEat more nutrient-dense and balanced mealsImprove relationship with foodCultivate a growth mindset around my nutrition behavioursHave more energyLose body fat% / lose weightImprove my health (e.g., blood pressure, cholesterol, etc.)Other

There are two coaching tiers available. Which one are you most interested in?*

Lite (bi-weekly check-ins)Core (bi-weekly live coaching)Premium (weekly live coaching)I am not sure

How long would you like to commit to coaching?*

4 months8 months12 monthsI am not sure

Behaviour & skills-based coaching requires you to check-in with your coach in a timely fashion either weekly or bi-weekly, collect data on your habits, be willing to try new things, and make your health and wellness goals a priority. On a scale from 1-10, how confident do you feel about committing to this?*

If your confidence level is lower than 7, what do you need to boost your confidence score?

How are you currently coping with stress?*

Not well at all - I am falling apart and need helpGenerally not well - I feel like I am at risk of burn outSometimes not well -I have my off days and I have my good daysMostly well - Occasionally feeling off but it passes and I have coping toolsVery well - I have tools and support to cope with stress consistently

What made you decide to apply for coaching and take care of your health right now?*

How might working with a coach and achieving your goals make your life different?*

What specifically about Flourish Onward speaks to you and makes you want to sign up for coaching?*

The application process has two parts: Filling out this form and getting on a call with me. Both of these are at no cost to you aside from your time. The application process allows us to get to know each other and determine whether we will be a good fit together. Most importantly, it will provide you with an opportunity to reflect on your goals and what will help you achieve them. Committing to the application process does NOT mean you must commit to coaching. Can we count on you to follow through with the application process?*

Yes! I am committedI am not quite ready yet - I will reach out again when I am ready to commit

Please verify that you are human*