First Name *

Last Name *

Email *

Phone *

What is your Instagram Handle? *

I agree to terms & conditions provided by Becoming HerTM. By providing my phone number, I agree to receive text messages from the business.

Current Age *

What Country do you live in? *

State/Province *

What is your occupation (job)? *

Where did you hear about Mariah and her Coaching? *

Instagram

Tiktok

Facebook

A Friend

If we were having this conversation 6–12 months from now and you had gotten the result you actually want, what would be different about your body, your health, and the way you feel in it? *

What feels most frustrating about where you are right now and what do you struggle with most when it comes to achieving your goals? *

What's your number one struggle that's holding you back from achieving these fitness goals? *

Walk me through what you're currently doing to get the result you want. Inlcude your training, nutritio,cardio/activity, sleep/recovery, and anything else you think is relevant. *

What have you already tried in the past? *

What do you think you haven't gotten the result you want yet? *

Why is solving this important to you now rather than continuing to handle it on your own? *

What happens if nothing changes over the next 6-12 months? *

What about Becoming Her® or the way I approach coaching made you feel this may be different from what you've already tried? *

If we're a fit, when would you ideally like to begin?

As soon as possible

Within the next 2-4 weeks

I'm researching for later

Our coaching options begin at $400/month, with Becoming Her® Mastery requiring a higher investment for individualized 1:1 support. If we determine that one of our coaching options is the right fit, which best describes your current ability to invest?

I am comfortable investing at the Becoming Her® Master level if it's the right fit

I can invest $400/month, but Mastery may be outside my current budget

I cannot currently invest at least $400/month.

When you are making an investment like this, how do you make the financial decision?

I make the decision independently.

I make the decision jointly with my spouse/partner

If your application is approved, you'll be invited to a private call where we'll look at where you are, what may be keeping you stuck, and whether Becoming Her®️ Mastery—or another level of support—is the right fit. This is a decision call, so please book a time when you're prepared to discuss your goals, the coaching options and make a decision if there is a mutual fit.

Are you prepared to make a decision on the call if we both determine that coaching is the right fit?

Yes

No / I am only gathering information right now