Application Form: Private Coaching with Kristina

Welcome. I'm so glad you're here. This application is the first step toward working together in 1:1 coaching. It's designed to help both of us get clear on whether this support is the right fit for you right now.

My coaching is for those who are tired of feeling stuck in body obsession, self-judgement and striving to “get it right.” It’s for those who’ve let go of dieting (or want to) and are ready to do the deeper work of building self-trust, emotional resilience, and true inner freedom.

Please take your time answering the questions below honestly and thoughtfully. Once submitted, you'll be directed to schedule a coaching consultation. Please do this after completing the application.

Thank you and I look forward to meeting you.

First and Last Name

Email address

Country of residence

How did you hear about my 1:1 coaching?

What drew you to apply for 1:1 coaching? Why now?

What are you currently struggling with in relation to your body or sense of self?

Have you stopped dieting or are you still trying to control your body/food in certain ways?

What kinds of support (coaching, therapy, self-work, etc.) have you tried before? What helped or didn’t help?

Have you ever struggled with an eating disorder? If yes, where are in your recovery right now?

What are you hoping will feel different after our work together?

This is a 3-month coaching experience that includes deep self-reflection and emotional work. Are you open and willing to go there, even if it's uncomfortable at times?

A

Yes

B

No

This coaching requires a financial investment. On a scale of 1- 10, how willing are you to invest in yourself to see tangible progress to feel more peace in your body and present in your life?

Do you need to talk to a spouse or partner to help you make a decision? If yes, please make sure they are on the call with you

I am able to make this decision myself

I need to my spouse to make a decision, and I agree to have them with me on the call