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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:

Best Email:

Height and Weight:

What's the one outcome you most want from the next six weeks? What goals have you been unable to find success with?

Why now? What's changed, or what's finally made you ready?

What have you tried before?

How would you describe your current diet, in your own words?

How much do you currently exercise or move in a normal week?

If you haven't been active, are you willing to move more? Be honest.

How's your sleep, most nights?

Rate your energy in the morning (1-5) 5 is high, 1 is low

Rate your energy in the afternoon (1-5) 5 is high, 1 is low

Rate your energy in the evening (1-5) 5 is high, 1 is low

Any health conditions I should know about?

Do you struggle with any kind of addiction or numbing habit? Food, screens, substances, anything you reach for to avoid a feeling.

Are you carrying trauma you're aware of? You don't need to share details, just whether it's present.

How would you describe your closest relationships right now?

What does your living space and daily environment look like?

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?

How would you describe your thinking most days? Calm and clear, or busy and hard to quiet? Good memory recall?

Do you notice the same worries or negative thoughts repeating, ones that are hard to shake once they start?

Do the people closest to you generally support what you're trying to build, or pull against it?

How connected or isolated do you feel most days?

Would you call your space calm, cluttered, or chaotic most of the time?

How much time do you spend outside or in nature in a normal week?

Which of your current habits do you already know isn't serving you?

How ready are you, honestly, to actually change that habit? (1-5) 1 = "not ready" & 5 = "very ready"

Have you tried meditation before? What happened when you did?

How much time can you realistically commit each week to calls, check-ins, and practice?