Uncategorized Archives

Full Name*

Email*

Phone Number*

Where are you located?*

Instagram handle*

What do you do professionally—and what kind of pressure does it put on your time, stress, and physical health?*

What’s your primary goal over the next 6–12 months?*

What strategies or programs have you previously tried to address these challenges? What were the outcomes?*

. What made you reach out to us specifically?*

Are you in a financial position to invest in high-level coaching and support?*

Yes

No

I need to make it work

Is there anyone else who would need to approve this decision with you?*

No, I make my own decisions

Yes, I need to consult my spouse/partner/other

What’s your current monthly income?

Under $10k

$10K–$25K

$25K–$50K

$50K+

Do you feel like your body currently reflects the level of success you’ve built in other areas of life?*

Yes

No

What would success look like for you 6 months from now—beyond the scale or mirror?*

Got a sense of humor? Cool. What’s something we should actually know about you before we talk?*

Uncategorized