5-Day Midlife Reset Application

Full Name *

Phone *

Email *

What does your mind say that keeps you small or holding you back? *

What is your biggest challenge stopping you from reaching your goal? *

What would success look like for you in the next 3 to 6 months? *

What would you like to achieve in these 5-days? *

Have you invested in your wellbeing before? *

Personal Trainer

Therapy

Self Care

Not yet- but open to it

Are you committed to showing up and completing the steps during the challenge? *

Yes - 100%

I'll try, but I'm busy

Not sure yet

If you get great results and it feels right, are you open to hearing about continuing together after the challenge? *

Yes - Absolutely

Possibly - depends

No - just here for the free challenge

Do you have financial resources to invest in coaching if it's the right fit? *

Yes - I can Invest

Possibly - depends on timing

Not right now