Application for Coaching

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This isn’t a vibe check—it’s a full-on body & brain glow up.
You can go from feeling chaotic and disconnected to feeling grounded and confident by prioritizing self-trust over self-control.

First Name *

Last Name *

Instagram Handle *

Phone *

Email *

If you had to walk into every room with a theme song playing behind you… what would it be? *

Which of the following best describes your current goals/challenges? (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to feel more energized and healthy overall

I want to stop falling off and finally stay consistent

I want to feel more in control of my mindset, self-talk, and emotional habits

Are you currently tracking macros? *

How would you describe your nutrition lately—no shame, just honesty *

How many meals a day are you eating? *

Have you ever been diagnosed with an eating disorder? *

What is your current exercise routine/regimen (be as specific as you would like!) *

How would you describe your mindset right now? (Think about how you treat yourself, your health, and your goals.) *

Have you previously worked with a coach? Please explain what you enjoyed/ what worked & what didnt *

What is it you are looking to gain from having a coach? *

What kind of support do you actually thrive with? *

Loving call-outs when I’m ghosting myself

Celebrating small wins + progress I overlook

Help navigating chaos weeks (work, kids, stress, etc.)

Clear structure I don’t have to overthink

Tough love - as direct as possible (but like, not scary)

Space to go at my pace without pressure

Do you trust yourself to follow through right now? *

What feels like the biggest thing getting in the way? *

When things get hard or motivation drops, what usually happens? *

If we work together, what do you hope will feel different 6 months from now?Describe it to me, not just your body—your brain, energy, outlook, follow-through, etc. *

What made you choose my coaching specifically? *

If *nothing* changes in the next 6 months, how do you think you’ll feel? *

What best explains your readiness to invest in your health and wellness? *

1. I’m extremely committed. Im ready to make an investment. I’m sick of my own bullshit, and I will do whatever it takes.

2. I value investing in myself and I’m committed… but I still worry I’ll fall off when life gets chaotic or I feel behind.

3. I know I need help, but I’m still half in / half out. I talk myself out of things a lot.

Anything else you'd like to add before booking? *