Health Coaching | Jennie-Laurie

First name

Last name

Email

Are you currently working on a health goal? (click all that apply)

How much time are you devoting to exercise right now?

30 minutes or more, daily

30 minutes, about 3 times a week

Very little

None

Do any of these apply to you?

bored with food

unmotivated because diets are too restrictive

tried and failed many times

eat pretty balanced, but not working

all or nothing mentality with food

What is your biggest health struggle right now?

What would you consider to be a success if we were to work together? (ex. lose X pounds, have less stressful mornings, feel more peaceful, etc)

(Ex. Finally lose the weight, find peace with food, gain consistency in exercise, etc)

What type of coaching are you looking for?

Bi-weekly coaching sessions via phone (30 min each)

Daily accountability checkins

Both

Not sure

Want to try coaching?