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🌿Getting to know you 🌿

Before we dive in, I want you to know that there are no right answers here.
I want to understand where you're at and ensure that what I put together for you fits your life. 💚

First & Last Name

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Email Address

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Why you're here

What made you reach out?

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What made you reach out?

Tired of diets that don't last

Low energy all the time

Want to understand my body and cycle better

My relationship with food feels stressful

Something shifted recently and I'm ready

I just know something needs to change

Other

Energy & Sleep

How would you describe your energy levels on a typical day?

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How would you describe your energy levels on a typical day?

Consistently low from morning

Good to start, then crashes

Crashes after meals

Unpredictable - hard to say

Generally fine

How would you rate your sleep quality right now?

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How would you rate your sleep quality right now?

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3

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5

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10

Really poor 🫩Great 💤

Movement

How does exercise / movement feel for you at the moment?

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How does exercise / movement feel for you at the moment?

I enjoy it and do it regularly

I want to but don't get round to it

It tends to feel like punishment

I overdo it and then crash

I'm barely moving right now

Other

What kind of movement do you currently do, or have enjoyed in the past? (pick all that apply)

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What kind of movement do you currently do, or have enjoyed in the past? (pick all that apply)

Walking

Running

Gym / weight training

Yoga or Pilates

Cycling

Swimming

Dancing

Home workouts

Team sports

I'm not doing much right now

Other

Your Cycle 🌸

Understanding your cycle helps me tailor everything to your energy, hunger, and how you respond to movement as It will shift throughout the month. Skip anything you'd rather not answer.

How would you describe your cycle?

Regular and predictable

Irregular or unpredictable

I have a condition that affects it (e.g. PCOS, endometriosis)

I don't currently have a period

Regular but painful and heavy

Do you notice any of these patterns across your month?

Energy dips at certain times

Strong food cravings at certain times

Low mood or anxiety before my period

Bloating or digestive changes

Motivation to exercise goes up and down

I haven't really tracked this

I don't notice much variation

How aware are you of your cycle phases and how they affect your body?

Very aware — I track it closely

Somewhat aware — I notice some patterns

Not very aware — I haven't paid much attention

I'm curious to learn more about this

Relationship with food

How does eating feel for you most of the time?

Nourishing and enjoyable

Chaotic or unplanned

Stressful or guilt-ridden

Restrictive — I follow a lot of rules

I feel disconnected from my hunger

Other

Do you currently follow any particular eating approach?

No, I eat intuitively (or try to)

I track calories or macros

I avoid certain food groups

I follow a specific diet (keto, vegan, etc.)

I'm not sure how to describe it

A little about your health

This section is completely confidential.

I ask because it helps me support you safely and personalise your plan accordingly.

Skip anything you'd rather not share right now.

Any health conditions, intolerances, or medication I should be aware of?

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(e.g.: PCOS, IBS, thyroid issues, food intolerances, hormonal conditions)

Have you ever had a difficult relationship with food or your body?

Yes, in the past — it's resolved

Yes, it's something I'm still working through

Not really, but food has felt complicated

I'd rather not say

No

Your Goal

What would feeling good in your body actually look and feel like for you?

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( no right answers here, describe whatever feels natural)

Is there anything else you would like to share? 🌿

One last thing

Ready to book your free 20-minute discovery call?

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No pressure! Either way, I'll follow up with the link after you submit

Ready to book your free 20-minute discovery call?

Yes, I'll book now

I'd like to hear from you first

Not sure yet