Work with Me

Please complete the following form to apply for coaching.

Your responses will allow me to get to know you, what you’re struggling with, and how I can help. With this information, I can determine if we’re a good fit to work together.

After receiving your application, I’ll be in touch within 24 hours.

First Name *

Last Name *

Email Address *

What kind of work do you do? *

What's your main health goal? *

What's your biggest challenge in achieving your goal? *

If I could wave a magic wand and give you your biggest goal right now, what would that be like for you? *

Eg I'd feel confident knowing how to eat and stop worrying and feeling bad about food.

How do you think I can help you achieve your goals? *

Eg Help me figure out how to start eating better with a busy schedule and a lot on my plate.

How commited are you to making changes for your health? *

I know I need to change but I don't know if I'm ready to prioritize it.
I'm ready for change now and willing to do whatever it takes.

What best describes you? *

I have the financial resources to invest in a coach to help me change my lifestyle and feel good in my skin again.
If the program is a good fit and I'm accepted, I can find the finances needed to invest.
I'm severely strapped for cash and investing in a coach is out of the question.