Be Well Coaching Program Application
Hello & welcome! I'm so glad you're here. This form gives you an opportunity to reflect on your goals & gives me a sense of the extent to which I'd be the right coach for you. Based on your answers, if there's magic to be made together, you'll be invited to schedule a connection call where we'll get to know each other a little more, and you'll be able to ask any questions you might have to ensure we're a great fit.

If you're selected, you'll hear from me within 48 business hours of submitting this form. Please note that not every application will move on to the connection call - compatibility matters!

Filling out this form does not obligate you to sign up for anything.

Thank you for being here. I look forward to hearing about your goals & your journey.

Be well,

Brigid
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What is your name? *
What is your e-mail address? *
What are your 3 biggest concerns when it comes to your health & wellbeing? *
What, if anything, have you tried in the past to improve your health & wellness? What worked? What didn't? *
What changes do you want to make? What does success look like for you? *
Why do you want to make these changes? *
What are 3 specific goals with which you'd like me to support you? *
What questions do you have about the program, or about working with me?
You're in luck! I'm running a special for early birds who are ready to sign up now for a January start. The investment is $1600 + HST ($400 off). If we're the right fit, are you prepared to make this investment?  *
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