Congratulations on this step

The fact that you are here and filling in this form is already something to be proud of.

Real change rarely starts with a perfect plan, but with the willingness to look at yourself honestly and take your needs seriously.

This intake has 11 questions and takes about 5 minutes. We encourage you to answer as honestly, openly and in as much detail as possible.

For us, it is important to get to know you as well as possible from the very beginning. To understand your situation, goals and struggles, and also to feel whether there is a mutual match and whether Realined Coaching can truly support you in the right way.

You are not a number to us. We find it important that every woman who applies feels truly seen, understood and supported from the very first moment.

1) first name last name

2) email address

3) phone number

4) tell us more about yourself (age, lifestyle, work, etc.)

5) What are you currently struggling with most in relation to your body, nutrition or mindset? (where do you feel frustration or insecurity?)

6) Why are you deciding to fill in this form NOW?

7) What have you already tried to change this? (and why did it not work long-term for you?)

8) What is the result you truly desire? (how do you want to feel in your body and life?)

9) Why is this result so important to you that you want to take action now?

10) Is there any extra information that is useful for us to know? (medical history, prior programs, injuries,...)

11) Are you willing to invest time, money, energy and mental focus in this program? (yes/no + short explanation) Yes No