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Energy Evolution Coaching Application
Before you start: this is a 6-week private coaching program, $2,000, six spots only for this founding cohort. If you're ready to actually apply that, keep going.
Name:
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Best Email:
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Height and Weight:
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What's the one outcome you most want from the next six weeks? What goals have you been unable to find success with?
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Why now? What's changed, or what's finally made you ready?
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What have you tried before?
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How would you describe your current diet, in your own words?
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How much do you currently exercise or move in a normal week?
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If you haven't been active, are you willing to move more? Be honest.
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How's your sleep, most nights?
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Rate your energy in the morning (1-5) 5 is high, 1 is low
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Rate your energy in the afternoon (1-5) 5 is high, 1 is low
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Rate your energy in the evening (1-5) 5 is high, 1 is low
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Any health conditions I should know about?
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Do you struggle with any kind of addiction or numbing habit? Food, screens, substances, anything you reach for to avoid a feeling.
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Are you carrying trauma you're aware of? You don't need to share details, just whether it's present.
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How would you describe your closest relationships right now?
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What does your living space and daily environment look like?
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When something upsets you, do you intentionally feel it and move through it, or does it sit with you for days while you try to avoid thinking about it?
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How would you describe your thinking most days? Calm and clear, or busy and hard to quiet? Good memory recall?
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Do you notice the same worries or negative thoughts repeating, ones that are hard to shake once they start?
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Do the people closest to you generally support what you're trying to build, or pull against it?
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How connected or isolated do you feel most days?
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Would you call your space calm, cluttered, or chaotic most of the time?
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How much time do you spend outside or in nature in a normal week?
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Which of your current habits do you already know isn't serving you?
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How ready are you, honestly, to actually change that habit? (1-5) 1 = "not ready" & 5 = "very ready"
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Have you tried meditation before? What happened when you did?
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How much time can you realistically commit each week to calls, check-ins, and practice?
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