Balanced Imperfection Fitness & Nutrition Pre-Discovery Call Form

Thank you for booking a call!

To help us make the most of our time together, please take a few minutes to complete this short form. Your responses will give me a better understanding of your goals, current challenges, support system, and readiness to invest in coaching, so I can best support you in deciding if this is the right next step for you.

Full Name *

Phone *

Email *

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What are your current health & fitness goals? *

What challenges have you experienced that have slowed down your fitness journey? *

What have you tried in the past to reach these goals? *

On a scale of 1-5, how ready are you to reach these goals? (1 being "not ready at all" and 5 being "I need to make this change now")

1- I could put this off for awhile

5- I need to make this change now!

What is your occupation and how much stress do you bring home, on average? *

What are 2-3 things you spend money on each month that are moving you further AWAY from your goals? *

If you had to guess, how much is that costing you on a monthly basis? *

If we are able to come up with a plan in terms of enrollment fees and reaching your goals, are you ready to make an investment in your health & fitness?

YES! I am willing to make the investment to reach my goals with both accountability and structure from a coach. This is a serious, long-term change for me to reclaim my health and happiness.

I am unsure if I can financially invest but am happy to work with you on program / payment options so I can make a decision by the end of our call

I am not financially stable to invest in myself or in my goals / it's not a huge priority right now.

Would this be a joint decision between you and your partner? If so, we'd love it if they could hop on the call as well! *

Yes, they play a role in this decision

No, this is 100% my decision

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