Apply to work with Amanda!

It’s time to take back your health and your life! I want to help you achieve your weight loss goals and help you to find energy and confidence to live fully and abundantly!

To start working with me, simply fill out the form below so that I can get to know you!

Application for 1:1 Health Coaching

When you click submit, you’ll be taken to my calendar where you can book a complimentary 30 - 45 minute phone call.

On the call, we will truly just get to know each other. I want to hear your story: your journey with health and weight, history of weight loss attempts, and to hear more about your goals and what kind of support you’re looking for! We'll discuss specific details about all that is provided within the program, and what it looks like to work together! Then if you’re ready to conquer your weight loss goals with support, guidance and accountability, I'll will walk you through the official onboarding process!

Name

Age

Phone Number

In the next 3-4 months, what changes would you like to see in your health? Please be specific.

Please list your top 3 health concerns, in order of importance.

What have been your biggest barriers to your weight loss and wellness goals? What have you struggled with in the past?

What are you looking for in a weight loss program? What do YOU think you need to help you be most successful?

Do you feel supported at home and by those close to you, in making healthy decisions for your future?

The investment to work 1:1 with a weight loss consultant to help you meet your overall wellness goals is a 4 figure investment, which also requires a minimum of 2 hours per week in education and implementation. We co-create a program that best fits your unique needs, resulting in lifelong sustainable results! Are you able and willing to make the time and monetary investment in yourself?

YES!

Maybe...I'm still thinking about it

I'm not ready yet, but maybe someday I will be.

How did you hear about my services? If it was through a specific person, please list their first and last name.

A Maggie Berghoff template

Apply to work with Amanda!

It’s time to take back your health and your life! I want to help you achieve your weight loss goals and help you to find energy and confidence to live fully and abundantly!

Application for 1:1 Health Coaching

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