Free + Empowered Coaching Application

I cannot wait to hear from you! Please provide as many details as possible in your application!

Once filled out, I’ll contact you to schedule a time to chat more about your goals and application!

Name

First Name

Last Name

Phone

(###)

###

####

What are your pronouns?

How did you find Jen?

Why work with Jen now?

Tell me about your relationship with food and your body.

What is your biggest struggle with food and your body?

How familiar are you with Intuitive Eating?

What it keeping you from making changes?

What change would you most like to see in the next 12 weeks?

Eat fear foods without guilt/shame

Consistency with nutrition/workouts/self-care

Better self-talk

Increased body respect/confidence

Do you have financial resources to invest in yourself and your health goals?

How do you make health & wellness financial decisions?

Wanna chat over coffee?
Me too!