Thank you for scheduling a meeting with me! I look forward to connecting.

In the meantime, please fill out this questionnaire below.

Name

First Name

Last Name

Describe how your body feels and experiences the world today, and how you envision it six months from now.

How do you take up space? How do you play? What do you want to add to your life?

What challenges are you currently facing around actualizing the vision you have for your life?

What are your sticky spots: no time, your physical environment, the people around you, your unique behavioral/brain quirks?!

What is your current exercise and nutrition routine, and how long have you been consistently or intermittently doing this?

Are you experiencing any specific body concerns or issues, including tight spots, 'bad' joints, or intermittently pesky pain or injury?

Have you ever worked with a coach before, either online or in-person? If yes, please describe your experience.

On a scale from 1-10, please rate your CURRENT physical strength, resilience, or fitness

1 = Out of Commission, 10 = My ideal Personal Best

On a scale from 1-10, please rate where you WANT to be in 1-2 years.

1 = Out of Commission, 10 = My ideal Personal Best

On a scale from 1-10, rate your READINESS to invest in making your *Ideal Personal Best* a reality

1 = Out of Commission, 10 = My ideal Personal Best