Coaching Questionnaire

CONGRATULATIONS!

You’re one step closer to understanding your body,

balancing your hormones, and finally getting results

that actually last.

Fill out this short questionnaire to continue!

To confirm, you’re here because you want to lose stubborn weight, regain energy, support hormone health, build lean muscle, and finally create results that feel sustainable and realistic for your life: *

Yes, I’m ready to feel strong, energized, confident, and comfortable in my body again.

No, I’m not quite ready for this support right now.

Full Name *

This program is designed for women who are serious about creating lasting changes in their health, body, energy, and confidence. Which of the below best describes your goal? *

I want to lose stubborn weight, regain my energy, and feel confident in my body again.

I want to better understand my hormones and finally figure out why nothing I’ve tried seems to work long term.

I want to build a healthier relationship with food, movement, and my body — without extremes or restriction.

I’m not fully sure what my body needs right now… but I know I’m ready for a different approach.

What makes you interested in working with our team specifically? *

Because I’ve followed your team for a long time and truly connect with your approach. Seeing other women regain their confidence, energy, and health gives me hope that I can experience that too.

Because I want to better understand the root causes behind my body’s struggles instead of relying on another restrictive “eat less, move more” approach.

Because your program feels supportive, realistic, and focused on long-term wellness — not just temporary results.

All of the above

I’m not very familiar with your program yet, but I’m interested in learning more to see if it feels like the right fit for me.

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, making this the last coach you'll ever need - 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 *

Phone *

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