Let’s Work Together! Email* * Name* * First Name Last Name Cell Phone # * Let's be friends! What's your IG handle? Have you ever worked alongside a 1:1 accountability coach? Yes No When are you looking to start 1:1 accountability coaching ASAP Within the next 10 days Within the next 30 days Other Which areas of your life do you want to focus on to truly own your best life? Daily routine and planning Meals, snacks and what to eat Movement, cardio, strength training Sleep schedule Stress reduction and improved mindset Relationships with your family & friends Your career, whether inside or outside of the home How would you describe your current eating routine? My eating is clean and tidy, but I want to stay accountable. It needs a little work, but I'm about 75% there. I know what to eat, but I am not keeping myself satisfied. I'm not sure where to start and really need guidance. How are you feeling about your daily movement? I'm moving daily, but would like to stay on track with a 1:1 commitment. I'm getting some movement in, but want to take it to the next level. I know that I feel better when I get movement in, but I struggle to make it happen. I'm not currently getting any movement in, but I'm ready to start. In your own words, describe what owning your best life would look like? Include how you would feel, what changes you would envision, what would be part of your daily routine and what stressors would be eliminated. * What is your current weight & height? What is your goal weight? Tell me some of your favorite foods or foods that you would want to avoid. As an example, I LOVE cheese, and dislike salmon, or I always want to finish my day with a sweet treat and I love Diet Coke. The more information the better, to ensure a sustainable and successful plan creation. * Are there any specific questions that I can answer? Quick Terms * Own Your Best Self does not offer medical advice. Our services consist of 1:1 accountability for meals and movement via text message, and are not intended to be and must not be taken as a substitute for any medical treatment. The program provided as a suggestion for a health based plan primarily on helping with wellness via a suggestion of snacks, meals and movement, as well as daily scale accountability. The coaches with Own Your Best Self do not have any healthcare training and are not licensed healthcare professionals. I acknowledge that if I choose to work directly with Own Your Best Self, that I will receive information that must remain confidential, including the specific details of the program. I agree to not share these details and text messages between the coaches of Own Your Best Self and myself are confidential and unpublished. I agree to submit payment directly to Own Your Best Self for services via Venmo, Paypal or Zelle, and understand that programs are created and begin once payment is rendered. I agree Thank you! I'll be in touch with you right away to get you more information.
