Work With Me
Change Your Life
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Please take a few minutes to fill out my coaching application with as much detail as possible.

 
What is your name? *

 
What is your email address? *

I will NEVER send you irrelevant emails or spam-like messages.
 
What is your phone number?

 
What is your MAIN goal? *

Be specific here so I know how I can best help you crush your goal.
 
What has prevented you from reaching that goal in the past? *

Again, please be specific here.
 
On a scale of 1-10, how committed are you to achieving said goal? *

Putting a 10 means you're ready to dive in RIGHT now.
 
What else do you hope to achieve by working with me? *

 
Are you willing to commit to me for at least 90 days? *

It should come as no surprise that consistency leads to progress. I need your commitment in order to make a dent in your goal(s).
 
Are you looking to work with me in person (in Grand Rapids, MI), online, or both? *


 
Please use this space to tell me anything you think I should know.

(e.g., injuries, medical conditions, if smooth peanut butter is better than crunchy peanut butter even though we both know that's not true).
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