Carrots 'N' Cake 1:1 Coaching Application
This questionnaire should only take about 10 minutes to complete. Consider it your first step and an investment in your health!

Quick note: Please only apply if you are a serious applicant. Our program is a 6-month total transformation and a long-term, sustainable solution. It's our most personalized, results-drive program.

If you are not ready to commit time, energy, and space to the process (or if you're obsessed with the number on the scale), please wait and apply later when you are ready. Our goal is to help you achieve the BEST possible results using a truly individualized approach, which involves nourishment, lifestyle (habits), stress management, and mindset.

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Email *
First name *
Last name *
Instagram handle
Phone number *
Age *
Gender *
Occupation *
What is your current weight? *
What is your goal weight? *
What are your goals? Please be as specific as possible (i.e. lose weight, build muscle, look and feel better, learn how to stay consistent, have more energy, etc.). *
What are your biggest struggles when it comes to healthy eating? Please check as many as apply. *
Required
What nutrition programs or diets have you tried in the past that have not worked? *
What's your current activity level? Please tell us about your typical exercise routine (i.e. type of exercise, duration, days per week). Please be as specific as possible. *
Are you currently pregnant, postpartum, breastfeeding, or trying to conceive? *
Do you have a diagnosed health problem? If so, please elaborate. *
Have you tracked macros in the past? *
What do you REALLY want to achieve by working with a coach? What awesome things would happen? *
What do you think is holding you back from your goals? *
How do you like to be coached? Do you prefer a warm-fuzzy approach or tough love? Something else? What approach do you respond to best? *
On a scale from 1-10, how committed are you to achieving your goals? *
Not committed
I'm ALL IN. Let's do this!
Why do you want to work with the CNC team versus another coach or program? *
Working together is a 6-month commitment so that we can use nutrition & lifestyle changes most effectively. Is that a problem for you? *
Our high-level coaching program requires a significant investment between $3,000 - $5,500. Are you ready to invest in yourself?                                                                                           *
Are you taking hormonal birth control (i.e. Pill, IUD, etc.)? If you answered 'yes,' please know that the Dutch Test does not read synthetic hormones, so the information might not be helpful to you. You still have the option to run the gut and mineral tests. *
How'd you hear about Carrots 'N' Cake? *
Anything else you'd like for us to know?
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