Welcome — I’m so glad you’re here.
If you’re exploring 1:1 coaching with me, this quick survey is the first step.
It helps me understand your goals, your current hormone challenges, and what kind of support will serve you best.
Your responses are 100% confidential, and I’ll personally review them before reaching out with next steps.
Let’s get started.
First Name
Last Name
Phone
Email
Company
1. What is your current age?
Under 18
18-28
29-38
39-55
56+
2. What are your current health and fitness goals?
3. What holds you back the most when trying to accomplish your health and wellness goals?
A clearer understanding of what’s going on in my body
A strategy that actually works for women in my season of life
Motivation to start taking better care of myself
Confidence to lift weights and fuel my body
All of the above
4. Which of the following symptoms are you experiencing if any?Mark all that apply - Choose as many as you like
Irritability
Anxiety
Depression
6. What are you UNwilling to give up to accomplish your health and fitness goals?
7. Would you like to receive monthly hormone health tips, strength training insights, and exclusive early access to my programs?
Yes
No
8. If you're ok with me TEXTING you to set up a time to chat, please leave your number below.
Yes
No