1:1 Coaching Client Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

First Name *

Last Name *

Instagram Handle (if you have one)

Right now how are you feeling about your health and body composition/weight?
*

Happy and content. I just need a little work.

Somewhat in between. Something is off, but I'm not totally miserable.

I feel completely tired and frustrated with the current state of my health and body composition.

Other:

What are your health/wellness goals at this time?

Why are these goals important to you?

Why do you want to make a change now?

Be very specific. The more detail the better!

What are you doing right now to better your health and get closer to your goals?

Describe any current workout routine (cardio, lifting, mobility days/min per week), your typical nutrition (food types, # of meals per day), and overall general biofeedback (sleep, digestion, stress management, hydration, etc).

What have you done before that didn't "stick"?
*

What do you need from me to reach your goal?

What would make you successful?

How committed are you. 1 being not committed, 10 being most committed.
*

Not Committed

Totally Committed

Why do you want to work with me? What attracted you to work with me?
*

Do you have a history of any major medical issues, surgeries and diagnosis?

i.e. autoimmune, thyroid, PCOS, gastric bypass, hysterectomy, IBS, etc.

Support from the people closest to you is so important. I want to make sure that if you have a spouse or partner they are on board, not just financially, but emotionally to help support you through this journey!
*

My spouse is supportive financially and emotionally of this journey, I will not need to ask for permission in making this decision.

My spouse is supportive financially and emotionally of this journey, but we do share all decisions at this level so I will need to ask them before I move forward.

I do not need to have the support of my spouse/partner emotionally or financially to move forward in this process.

In order to get from point A to point Z....it takes time, money, and energy. I work with women who are READY to do that. Are you ready to invest emotionally, physically, and financially into your health? Which of the following best fits the level of accountability and support you're looking for?
*

1:1 Coaching costs range from $475-$675 per month with paid in full discounts available.

I am able to make this investment in my health at this time.

I am not able to make this investment with my budget at this time.

How did you hear about me? *

Facebook

Instagram

I know Lauren personally

Client Referral (please share their name below)

Other:

If you were referred to me, please share their name ⬇️

Next Steps - Scheduling Discovery Call

Once you submit your application, I will review it and then reach out to connect and discuss a potential coaching relationship.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms