Dani's Practical Health Coaching Application


Nutrition/Fitness Breakthrough Application
**PLEASE READ**

Fill out the form with the most honest and detailed answers.

This is an opportunity to apply for a quick coaching call to help me better understand what YOU need to move your healthier lifestyle to the next level! I love to help people make fitness and healthier eating a lifelong lifestyle, overcome self doubt, and learn to love their bodies!

Your time is very valuable, as is mine, and I only speak with highly motivated, dedicated, and coachable people who truly want to take their mindset and lifestyle to the next level.

I assume that is YOU since you’re here and taking the time to fill this out!

**IF YOU ARE APPROVED YOU WILL RECEIVE AN EMAIL CONFIRMATION AND I WILL CONTACT YOU TO SCHEDULE A CALL**

So, are you ready to achieve your nutrition and fitness goals and CHANGE YOUR LIFE?


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Dani's Practical Health Coaching 12  Week Transformation Program
Full Name *
Email *
Phone Number *
Do you currently follow a workout program? If so, explain exactly what it is *
How do you feel about the Food Choices you make? *
How do you feel you could improve your lifestyle? *
What is your specific goal to accomplish within the next 3-6 months? *
Required
What are some of your fitness or nutrition weaknesses that hold you back from achieving your goals on your own?
If you could work one-on-one with Dani for 12 weeks, what would you hope to accomplish? *
On a scale of 1-5 (1 being no rush, 5 being now) how quickly are you willing to take action & overcome your obstacles and achieve your goals? *
Specifically, what does life look and feel like when you reach these goals? *
If it’s decided at the end of your call that you would be a good fit and invited to join the program & we are a good fit to work together, are you willing to make the investment in yourself to overcome these obstacles? *
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