First Name *

Phone *

Email *

What are your top 3 goals for the next 6–12 months? *

Weight loss
Energy
Mindset
Confidence
Finances
Business
Leadership
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What has prevented you from reaching these goals in the past? *

Patterns
Habits
Mindset
Nutrition
Overwhelm
Structure
etc
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Which areas of your life currently feel out of alignment? (Select all that apply)

Nutrition

Movement / Fitness

Mindset

Emotional strength

Stress / Overwhelm

Spiritual alignment

Leadership / Career

Entrepreneurship / Finances

Confidence / Identity

Daily structure & discipline

Why do you feel NOW is the right time for coaching? *

What changes are you most committed to making over the next 6 weeks? *

Are you willing and able to invest in your transformation at this time? *

Yes, I am ready to invest in myself.
Yes, but I want to review the options.
I’m exploring but not ready to commit.
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To secure your Alignment Call, a $250 non-refundable deposit is required. This is applied toward your coaching program. Are you comfortable moving forward with this? *

Yes, I understand and I’m ready.
I have questions.
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When would you like to begin your coaching journey? *

Immediately
Within 2 weeks
Within 30 days
I’m exploring options
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Is there anything else you’d like us to know about you, your goals, or your commitment? *

Once your application is reviewed, we will send you:

Your acceptance confirmation

A link to submit your $250 deposit

A link to schedule your Alignment Call

This call is the first step in creating your Spirit–Mind–Body transformation.