RISE & THRIVE: 1-1 COACHING APPLICATION

This is an in-depth, hands on & personalized 1-1 coaching program tailored towards high performing, ambitious women like you.

We work with women who are ready to commit to & invest in their transformation. If that's you, please fill out this form to apply!

First Name *

Last Name *

Email: *

What is your IG username? *

Date of birth

What specific health & fitness goals are you looking to achieve in the next 6-12 months?

What challenges do you currently face in achieving this on your own?

Not knowing what workouts to do

Not knowing how much/what to eat

Negative mindset

Lack of time/ busy schedule

Navigating social settings

Lack of preparation/ planning

Stress eating/ cravings

Past methods being unsustainable

Other

Is there anything coming up in the next 6-12 months that you want to prepare for?

Do you currently exercise? If so, how often & what types of workouts do you do?

Do you have experience with tracking food? If so, please share your current calorie & macro goal if you have one. If not, are you following any specific diet right now? *

Do you currently experience any of the following?

Irregular periods

Bad cramps/heavy periods

Cystic acne

Chronic fatigue

Constipation/ diarrhea

Excessive bloating

Frequent gas

Other

Why do you want to work with Coach Sam specifically? *

Our premium coaching program works with clients on a 6-12 month basis, are you willing to commit to a minimum of 6 months to achieve your aesthetic & health goals?

Yes!

No that's longer than what I’m looking for and would like to hear other options

Is there someone you will need to discuss this financial decision with?

Yes but they are on board & supportive of my goals
Yes but I haven't spoken to them yet about seeking help
No, just up to me!
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How did you hear about us?

Referral
I'm a former client
Instagram
Tiktok
Facebook
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Thank you for applying & I will be in touch within 48 hours via email.💓