Name

How much weight would you like to lose and how long have you been trying to lose it?

Apart from weight loss, please share any other health, fitness, or physical appearance goals you’d like to achieve.

Are there any physical, dietary, or medical conditions or limitations we should be aware of? Please share any details you’re comfortable disclosing below.

What are the biggest obstacles you've encountered in pursuing these goals?

To lose weight and keep it off, you need to know how much you're eating. Are you currently tracking your food? If not, are you willing to learn? (If you are not willing to learn, please do not apply.)

Are you currently exercising? If so, what does your routine look like—for example, home workouts, gym sessions, walking, Zumba, etc.? If not, are you ready to begin? (If you’re not prepared to start exercising, please wait to apply for coaching.)

Are you prepared to start working toward these goals right away? (If not, please wait to apply for coaching until you feel fully ready to commit.)

Are you committed to working with us for at least six months to help you achieve your goals? (If not, please do not apply for coaching.)

Are you committed to actively communicating and engaging throughout the coaching process?

In what ways do you believe 1-on-1 coaching will support you in reaching these goals?

What would achieving your goals mean to you personally?