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Coaching Inquiry Form
Kindly fill out this brief, no obligation questionnaire. I'll respond within 24-48 hours with more information about 1:1 and CGM coaching options.
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Email
*
Your email
Name
*
Your answer
Please share your Instagram handle and/or phone number where you'd like me to message you.
*
Your answer
Have you had weight loss surgery?
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Yes
No
I'm considering it
My current health & nutrition goals consist of...
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Losing weight
Learning what foods work for me
Training for a specific event
Improving my relationship with food
Overall feeling better
Other:
Required
Please describe the current challenges or barriers that are holding you back from reaching your goals.
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Your answer
I am most interested in...
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Learning how my body responds using CGM
Small group programs
1:1 coaching with Kayla
eBooks or self-paced learning opportunities
Messaging and/or e-mail support
Help with exercise programming
Other:
Required
What timeframe are you willing to commit to in order to make progress and reach your goals?
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1–3 months
3–6 months
6+ months
Greater than 1 year
Required
If we're the right fit to work together, are you prepared to make an investment in yourself? This includes financial and time commitments.
*
Your answer
Additional information you want to share or comments about the type of support you're looking for.
Your answer
Where did you learn about me or my services?
*
Choose
Instagram
TikTok
Facebook
BariNation
A friend referred me!
Other
I consent to receive Kayla's weekly newsletter with free nutrition, mindset, and weight loss tips.
Yes, please!
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