1:1 Coaching Application

Working with a coach is an investment in you. You have to be willing to put the work in to change your life. If you are interested in working with me please take a moment to fill out this application and I will be in contact soon. Thank you.

First name

Last name

Phone

Short answer

How did you hear about my 1 on 1 coaching

What is your definition of Health?

What brings you here today? Tell me briefly about your goals and what you are looking to accomplish.

Why are these goals important to you? If you achieve these goals, how will your life change?

On a scale of 1 through 10 (1 very poor, 10 great) How would you rate your current health?

What are you currently doing to reach your health goals? Have you started any new habits? Have you been working on eliminating any habits?

Have you invested in yourself before? If so, what were the results from that experience?

What is the most (time/money) you have invested in yourself? Was it worth it?

On a scale of 1-10 (1- not stressed 10- extremely stressed) how stressed do you feel on a daily basis?

Do you understand that if we work together, you must be willing to put in the work? And to be honest with yourself and me? Are you willing to hold yourself accountable and be held accountable?

YES!

No, Maybe this isn't for me.

Is there anything else I should know?

Time is Precious. Health is Vital.

Time is Precious and
Health is Vital.

Working with a coach is an investment in YOU. You have to be willing to put in the work to change your life. If you are interested in working with me please take a moment to fill out the application below and I will be in contact soon. Thank you.

1:1 Coaching Application

Get in Touch

Stay in the loop!

Time is Precious. Health is Vital.

Time is Precious and Health is Vital.

Working with a coach is an investment in YOU. You have to be willing to put in the work to change your life. If you are interested in working with me please take a moment to fill out the application below and I will be in contact soon. Thank you.

1:1 Coaching Application

Get in Touch

Stay in the loop!

Time is Precious and
Health is Vital.