Iām. So. Proud. Of. You.
Getting started can be the hardest part and Iām proud of you for taking the first step!
I am on a mission to transform and empower hearts, minds and bodies through health & fitness. My goal is to not only teach you the methods that are sustainable lifelong, but encourage developing a healthy relationship with food, your body and your mind. One woman, one goal and one day at a time. Iām here to guide, educate, and support you every step of the way. Please take the time to fill in this form honestly & you will receive a text/email if my 1-1 coaching will be the best fit for you š¤
Application
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Instagram @ if you have one š¤
I love to connect with you and follow along your journey āØ
What are some realistic goals you have for self?
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Fitness & over all health goals?
What encouraged you to take the first step towards reaching your health & fitness goals & applying for 1-1 Coaching?
*
How committed are you to reach your goals ?
*
Not the biggest priority
1
2
3
4
Doing whatever it takes
5
1 is Not the biggest priority , 5 is Doing whatever it takes
You understand that any progress you're looking to make requires consistent compliance, patience, and dedication to achieve ?
*
Please Select
Yes
No
I am here to help guide, educate, and support you along the way. But the power to make the change is in your hands š¤
What have you attempted to do in the past?
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Any programs, diets, methods? Experience training? Why or why not were they successful attempts for you?
Have you ever been coached before ?
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If so, was it in person or online?
What is your current training routine like? Please provide frequency of cardio and weight lifting as well as how many minutes. If you don't have a routine in place or it's inconsistent, no worries! Just indicate below.
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Estimates are fine. This helps me understand your activity levels.
What are you currently eating on a day to day basis?
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Give me an example of a current day in your life and what/when you eat. Any dietary restrictions etc.
What is your biggest challenge to achieving your health goals? (select all that apply)
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Time Management
Exercise
Nutrition
Accountability
Finances
Adherence / Compliance
Do you have any injuries or diagnosed medical conditions I need to be aware of?
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Any medicines? Past injuries ? Diagnosis?
Are you prepared to prioritize your health and wellness by investing $250-$400 per month in achieving your goals?
Yes!
No
You will receive an email or text from me if 1-1 coaching is right for you & to schedule a call to get you started on your health & wellness journey.
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