HERizon Coaching Enquiry
Name:
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Surname:
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Phone:
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Email:
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Confirm Email:
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Date of birth:
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Age:
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Which Programme Speaks to You? I'm most interested in:
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StrongHER Programme: Build strength lose fat and learn to understand your body
MotHER Programme: Safe expert guidance through pregnancy and postpartum
PowHER Programme: Navigate perimenopause/menopause with confidence and strength while reaching your goal
Other
What are you hoping to achieve? (E.g., lose body fat, build strength, feel confident again, understand your hormones, have more energy, fit back into your clothes):
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What's driving you to take action RIGHT NOW? (What's changed or what's finally made you say 'enough is enough'):
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What's been holding you back from reaching your goals? (E.g., consistency, motivation, not knowing what actually works, time, energy, confusing information):
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Real, lasting change takes time, consistency, and working together. Most of my clients see their best results with the 6 or 12-month programmes because they give your body time to truly adapt and create habits that stick. Are you ready to commit to working together for:
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4 months: Foundation & momentum (great starting point)
6 months: Complete transformation (most popular!)
12 months: Full mastery & lifestyle integration (best results)
Is there anything about your current health, previous injuries, or personal circumstances I should know about? (This helps me personalise your programme and keep you safe. E.g., past injuries, medical conditions, stress levels, sleep quality, current life situation):
Any questions for me before we chat?:
Have you been referred by a friend?:
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Yes
No
What Happens Next: Once you submit this form, I'll review your answers and be in touch within 24-48 hours to schedule a no-pressure chat. We'll discuss your goals, answer any questions, and see if one of my programmes is the right fit for where you are right now:
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