Application: Private Coaching with Rae Anne
Please fill out this application to see if you and I are a good fit for one-on-one private lifestyle coaching. This coaching may include nutrition, fitness planning, meal planning, Thyroid & Autoimmune coaching, and mindset coaching. After you fill out the application, I will contact you to schedule a consultation call. At that point, you can decide whether or not to work with me. I have 3 available packages to help you. Thanks!
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Your Name *
What is your email address? *
What phone number can I contact you for a consultation? I will only call if we pre-arrange a time. *
Where do you live? *
What is your age range? (This helps me determine basic needs) *
How did you hear about me? *
What is your reason for wanting a private coach? What is your biggest goal? *
What have you tried in the past? Why did it work or not? *
Are you open-minded and willing to listen to advice that may be different than what you have done in the past? *
What is your biggest struggle currently? (weight loss, low energy, health issues, peri menopause or menopause, etc...) *
What is your biggest obstacle to reaching your goal? (people, kids, environment, cravings, thyroid, etc..) *
To work with me, there is a substantial investment ($200-$500/month depending on package). Are you willing to invest in your health and wellbeing?  *
If you are not ready to invest in private coaching, would you be interested in a group coaching program? *
Do you have Hashimoto's or Hypothyroidism? If yes, would you be interested in a 6 week program to reduce inflammation, increase energy, get rid of brain fog and lose up to 10 pounds? *
How do you measure success with your health? (Weight loss, Energy, Inches lost, Reduced cravings, Less hunger, Reduced inflammation? This matters a lot to me. I am not a coach that only looks at the scale. If you only want to weigh a certain number or get "skinny" I am not the coach for you. *
Do you take medication or supplements? *
On a scale 1-10 (1 being not at all and 10 being Definitely), how committed are you to working towards your goal? *
Not Committed
Nothing Holding me back committed
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