1:1 Client Application
Welcome!

I'm so thrilled that you chose to apply to work with me 1:1.

The intention behind this application process is to make sure we are the right fit for each other so that you can get the best out of your investment.

Please dedicate 15-30 minutes of uninterrupted attention to answering these questions. Bonus, if you create a mood by lighting a candle, playing your favorite music, or doing anything that helps you focus.  

Soft inhale, long exhale....

Let the journey begin 👁

Sign in to Google to save your progress. Learn more
Email *
What is your core desired goal for your 3-month of 1:1 movement coaching? Or where do you see yourself three months from now? *
What's the way currently? *
How long have you wanted this & why? *
Why now? *
How will this impact you and your life? *
What, if anything, is stopping you from achieving that goal? *
Have you ever worked with a movement coach/ personal trainer to help you with this? *
If yes, what were you looking for? What made your choice a yes? *
If not, why not? *
What is your biggest challenge when it comes to reaching this goal? *
What have you tried to remedy this challenge? What worked? What hasn't? *
Why reaching these goals are important to you? What does it do for you? *
Are you familiar with the kinds of work I do? Why do you want to work with me? Link to services: https://hedishah.com *
Do you take full responsibility for the change you are looking to create? Are you ALL in for making the result you desire? *
If your application gets accepted for 1:1 Coaching with me, you are in for a 3-month commitment so you can receive massive support to create the results you desire. Are you in a place right now to create space for your transformation? *
List all previous injuries, traumas, and surgeries from childhood to now; nothing is too insignificant to overlook. *
How's your sleep? How many hours of sleep you get each night? Do you wake up in the middle of night? *
Where is your stress level 0-1o? 0 being the lowest and 10 being the highest. Do you have any idea what could increase your stress level? What helps decrease it? *
Do you have jaw tension? Do you wear mouthgaurd? *
Anything else you want to add? *
How did you hear about me? *
Do you want to be added to our community update email list? (invitation to events, public workshops, free educational videos, etc.) *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms