Ready to Reinvent Your Wellness, Leadership, and Life?

This is high-touch, high-impact coaching for those ready to take radical ownership of their well-being. If that sounds like you — fill out this quick application and we’ll connect for a alignment call.

Name

First Name

Last Name

Phone

Country

(###)

###

####

Current profession and industry

[Job title + Company or Self employed] [e.g., tech, healthcare, finance, entrepreneur, SAHM]

What made you interested in private coaching at this time?

What are the top 3 challenges you’re facing right now with your wellness, performance, or routine?

(Please be specific — think energy, mindset, boundaries, consistency, etc.)

What are your goals for the next 6–12 months — personally and professionally?

What have you already tried that hasn’t worked (or hasn’t lasted)?goals for the next 6–12 months — personally and professionally?

Why is now the right time to invest in yourself and your well-being?

How do you prefer to be supported?

(Select all that apply)

Accountability & structure

Strategic mindset support

Nutrition & movement clarity

Personalized systems to manage “real-life” demands

Building resilience & boundaries

Which coaching container are you most interested in?

(You’ll learn more on the discovery call, this just helps guide the conversation)

Are you ready and able to make a financial investment in your wellness at a premium level?

Comparable to life coaching + personal training + nutritionist combined.

Yes, I’m ready to invest in myself

Possibly, I’d like to learn more

No, not at this time

What is your current budget range for investing in high-touch 1:1 wellness coaching?

(Please select the range that best reflects what you’re prepared to invest in total in your personal and professional transformation. Custom payment plans may be discussed on the call.)

Anything else you'd like to share before we connect?

Ready to Reinvent Your Wellness, Leadership, and Life?

executive edge wellness

location

get in touch!