Coaching Enquiry Form 🏳️‍⚧️ 🏳️‍🌈 ✨👇🏼

To find out more about my services, please complete the form below and I'll be in touch!

Filling out this form does not commit you to anything 🏳️‍⚧️ 🏳️‍🌈 ✨

Take a few minutes to share what support you want and I'll get back to you real quick.

Full Name

Preferred Name *

Pronouns

Age

Instagram Handle

Phone

Email *

What are your main goals? (Tick as many as you want to) *

Having more confidence

Improving lifestyle to be happier and healthier

Managing stress and anxiety better

Creating supportive and consistent routines

Making a big work / life change

Finding work that suits me

Exploring my gender identity

Understanding myself more deeply

Getting stronger physically and mentally

Building exercise and the gym into my life

Other (please specify)

What are your biggest challenges?

Lack of confidence

Feeling stuck

Lack of knowledge

Lack of guidance and structure

Lack of motivation

Time commitments

Work commitments

Not sure where to start

Overwhelm

Illness / injury

Other (please specify)

What do you currently need the most help with?

What do you want to try and achieve in the next 6 months?

Why would you like to work with me?

Where did you hear about me?

Have you tried Coaching before?

Yes
No
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Do you have any questions for me?

Anything else you want me to know (completely confidential)

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