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Fill out the application below, and I’ll be in touch within 1–2 business days to schedule your free Discovery Session.

Name

First Name

Last Name

Phone

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Age (helps me understand your stage in life)

What are your top 1-2 health or life goals right now?

What are the biggest challenges or obstacles you’re facing?

What have you tried before to reach your goals?

Why do you want coaching at this time?

On a scale from 1 to 10, how ready are you to invest time, energy, and finances into your transformation?

Would you like to schedule a free discovery session?

How did you hear about me?

Anything else you’d like to share?