Paulette Sybliss-Body Menopause Coaching Application
SERIOUS APPLICATIONS ONLY. This will take  you approximately 10 minutes to complete. I will be back in contact with serious applicants 24-72 hours after receiving this. If  it is sent over the weekend or any public holidays , then this timeline will be delayed. Rest assured, if your application is serious I will contact you.
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Email *
Name *
Last name *
Email *
IMPORTANT CONFIRM EMAIL! Double check your email is correct. If there is any error in your email address. My reply will not get to you. *
Date of birth *
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Age *
Height (in feet & inches) *
Weight (in pounds ONLY) *
What is your occupation *
Where do you live-City or Town & Country *
What is your average daily activity level *
What is you Instagram handle (if none write N/A) *
How did you find out about me? *
Why do you wish to work with me? *
Why are you choosing my online  menopause coaching program ? *
What stage of the menopause are you at? *
Have you worked with an online coach before? *
If you have any diagnosed health problems now or in the past, please list them. *
Are you on now or have been on HRT or taking any additional therapies to assist you? *
If you have any injuries currently or in the past that may effect you exercising , please list them.   (if none type N/A) *
What additional therapies (if any) are being undertaken for the given injury? (if none type N/A) *
What are your expectations of me as your coach? *
What do you wish to achieve on this program? *
Why are you doing this now? *
What if anything have you tried to do before to help you achieve why have they not worked? *
Are your family and loved ones supportive of you starting this program? *
Where will you train, at the gym or home? *
Describe your current or last workout program *
•Do you have experience of any resistance training either on your own or with a personal trainer? Please elaborate as much as possible. *
How committed are you to  this program *
Required
 Are you ready to make necessary changes to your current nutrition for the long term? *
Are you willing to commit to the process 100% for the full duration? *
My services do not come cheap. My programs are all bespoke, written solely by me, for each individual client. Are you ready to invest in yourself, your health and well-being to work with me? *
I offer 6,12 & 16 week plan. Which best suits you? *
Working with me is a commitment. My services are not free or cheap. I am an experienced coach and will only work with women who are truly committed to making changes.
If my plan is suitable for you I will send you a secure payment link within 72 hours of receiving this questionnaire from you.
Are you ready to make the investment below.
Prices are in £ and US $
 *
When are you looking to get started *
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Is there anything further you wish to add or you feel I need to know in relation to this application?
PAYMENT TERMS-If my plan is suitable for you. I will send you a secure payment link to make payment. Once payment has been made I will be back in touch to welcome you to your new menopause coaching plan. At the same time I will send you a more detailed  lifestyle questionnaire.. I take on a very limited number of clients, to ensure I am able to give my clients the attention they require and deserve at all times. 
Please make your payments in a timely manner otherwise I will release that space and take on another client that is on my wait list. Due to the work that it involves in me creating your bespoke plan , I do not offer any REFUNDS given. Once you are in receipt of your program, you will be expected to start it as soon as possible. There are no time extensions given to your program for any reason.
You must answer the question below.

Have you read, understood and agree to bound by the payment terms listed above? *
Disclaimer- Assumption of Risk: You acknowledge that participation in my menopause coaching plan involves inherent risks and dangers, including the risk of personal injury or health-related issues. You assume full responsibility for these risks and agree to participate at your own risk.
Health Statement: You confirm that you are in good health and physically capable of participating in the plan If you have any pre-existing medical conditions or concerns, you must consult with a healthcare provider before participation.
Professional Guidance: You acknowledge that it is advisable to seek professional medical advice if you have any doubts about your ability to safely participate in my coaching plan. If needed, you should follow the guidance and restrictions set by your healthcare provider.
Proper Use of Equipment: You agree to use any equipment required in your fitness program at your own risk and will and will follow all instructions provided. Failure to do so may increase the risk of injury.
Waiver of Liability: You agree to waive, release, and discharge Paulette Sybliss, her instructors, staff, and affiliates from any claims, liabilities, or demands that may arise from your participation in the plan including any claims related to personal injury, whether caused by negligence or otherwise.   
You MUST complete the question below.

Have you read, understood and agree to the disclaimer above? *
Final email check! Please go back and carefully check there are no spelling mistakes in your email address and write it again below. Do not cut & paste it from previous answers. *
PLEASE RE-READ OVER ALL YOUR ANSWERS BEFORE SUBMITTING. *
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