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I have limited space available for 1:1 coaching clients. please fill out this application form so we can determine if we’re a great fit!

After you submit this form, you’ll be directed to my calendar to book your free consultation if you wish!

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First Name*

Last Name*

Email*

Where do you live?

USA / Canada

Other

Your Instagram Handle? (ex: @liftwithlala)

Date of Birth

1. What is your primary health, fitness or performance goal?

2. Are you currently exercising without pain or limitation?

3. What have your last 3-months of training looked like?

4. What’s your biggest challenge to achieve your goal?

5. What’s been your biggest victory in your health and fitness?

6. What does success with your health and fitness look and feel like?

7. What was the driving factor for applying to work with me as your coach?

8. What type of specific support from me do you believe will guarantee your results?

I need a customized individualized TRAINING PROGRAM specific to my history, needs and goals that I'll go and crush!

I need an ALL INCLUSIVE holistic health plan including training, lifestyle, accountability and mentorship

9. Are you currently in a position financially to invest in an online coach?

Yes, I am financially able to hire an online coach

No, but I will figure out a way to make it work because health is my priority

No, I'm currently not able to financially invest in a personal online coach at this time

10. Anything else you’d like to tell me about yourself?

11. Schedule your FREE coaching consult zoom call on the next page...

YES! I will schedule my coaching consult call on the results page after submitting my application

NO! I am not interested in doing a coaching consult call to learn more about the entire coaching process

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