1:1 Nutrition Coaching Application Hackett Health
Hey there! I'm so excited you are here!

If you are overwhelmed and frustrated with all the misinformation out there around nutrition and exercise, then you are in the right place! I helps others ditch diets and build happier, healthier relationships with food and their body. Are you ready to heal your gut, feel energized, gain confidence, and stop dieting? I take my client's health and happiness very seriously so I want to make sure you are committed to making this powerful change in your life before we get started.

Please be as detailed as you can below so I can get a good picture of your goals and see if we would be a good fit.
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Email *
Full Name *
Phone Number *
Instagram Handle *
What is the reason you decided to reach out to me? *
What are your top 1-3 goals that you hope to achieve by working with me? *
What is currently preventing you from achieving these goals on your own? *
What is your biggest struggle right now? *
Required
Have you dieted in the past? If so, how many diets have you been on and for how long? *
On a scale of 1-5, what is your level of commitment to creating positive change in your health and fitness journey? *
If 3-6 months from now, you were exactly where you wanted to be, what would that look like? How would you feel? Please be detailed. *
If we work together, I will provide you with a customized nutrition plan, fitness plan, and mindset work along with weekly or bi-weekly 30 minute calls to assess and reassess your goals. Are you ready to make a physical, emotional, and mental commitment to work with me? *
My premium private coaching starts at $550/month. Are you willing to make this financial investment towards your health and nutrition goals? *
Is there anything else you would like me to know? *
Thank you for your submission, I will reach out to you as soon as possible! Please allow me 48-72 hours to review your application.
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