Coaching Questionnaire

Congratulations!

You're one step closer to losing the weight,

building the strength, and feeling like yourself again.

Answer this short questionnaire to

qualify for the next step.

To confirm, you are filling this out because you want to lose between 10-25lbs of stubborn fat, regain energy, optimize hormones, build lean & tone muscle + make this the LAST COACH you’ll ever need? *

Yes - I am serious, and want to learn more about reaching my dream body, without sacrificing my life.

No - I’m going to leave this page immediately.

Full Name *

Which of the below best describes your goal? *

I want to lose between 10-25lbs of stubborn fat, regain the energy I once had, and feel sexy in a bathing suit..

I want to restore my hormones and understand why my past attempts at “diets” have failed.

I want to lose some weight and feel more confident in my skin + regain a healthy relationship with food.

I’m not exactly sure what my specific goals are, but I do know my approach to nutrition, fitness, and health is not working the way I would like them to.

What makes you interested in coaching specifically? *

Because I want to utilize a proven method that will address the underlying root causes of my weight loss issues, instead of being told “eat less, and move more.”

The support, knowledge, and accountability of you as my coach

Because I’ve followed you for a long time and trust your expertise and ability to help me achieve my goals

All of the above

I’m not very familiar with your coaching, but I am interested in learning more!

In a few short sentences, please describe your experience with fitness and nutrition.

What is your current occupation and how long have you been doing it? *

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth? *

Yes, I have a significant other and they are supportive.

Yes, I have a significant other but this is my decision to make.

Yes, I have a significant other but they may need to be on the call with me to make a joint decision.

No, I’m single and make my own rules, lol

Last question! If we were to find a way to reach your dream body, optimize your health, and learn how to keep your results for LIFE, would you be willing (and able) to invest in getting the help necessary to get there? *

Yes, I have the cash flow to invest in myself.

Yes, I may or may not have the cash flow but I'm resourceful and/or have access to credit.

No, my cash flow is month to month and I have no access to credit.

Email *

So I can provide some extra free resources for you after our call.

Phone *

Please confirm your mobile number [It's really important this is correct so that we can confirm your application + help you book your free strategy session]

We'll Review And Be In Touch For Next Steps.