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1-1 Coaching Application

Thanks for your interest in coaching! This application is the first step in creating lasting change.

Whether your goal is to lose 10–30+ lbs or restore your energy, cycle, and hormone health after years of dieting or burnout — this process is tailored to meet you where you are. We’ll map out the right path together based on your body and goals.

Please take a few minutes to answer honestly and thoroughly. There’s no pressure or “perfect” answer — just a chance to make sure we’re a good fit before moving forward. If it looks aligned, I’ll reach out with next steps!

What is your name?

What is your age?

What is your phone number?

What is your email address?

What is your IG handle?

What are your main goals for this program? (Select all that apply)

What are your main goals for this program? (Select all that apply)

What's your biggest struggle(s) right now?

What drew you to this program specifically?

Are you ready to prioritize your goals and make an investment in yourself, if it’s the right fit?

Yes, I'm committed to making positive changes for myself and my well-being.

I'm not ready to make this a priority right now.