Online Coaching Application

This application is designed to help determine whether we are a good fit to work together and whether the 12 Week Resilient Parent Blueprint would be the right next step for you.

We’ll explore:

Your current challenges
Training and recovery habits
Energy and stress levels
Goals and priorities
What may be limiting your progress

Most people don’t need more intensity.

They need a structured system that helps them Recover, Refuel, and Rebuild in a way that fits their real life.

By the end, we will both have a clearer understanding of where you are now, what’s holding you back, and whether coaching support would help you move forward with more strength, energy, and consistency.

First Name *

Last Name *

Email *

What best describes you right now? *

New to working out

I worked out in the past and want to get back into it

I currently workout weekly

I am a fitness enthusiast

What are your biggest priorities right now? (Select up to 3) *

How often do you currently train or exercise consistently? *

0–1x/week

2–3x/week

4+x/week

On and off / inconsistent

How would you describe your daily energy?

Consistently strong

Good early, crashes later

Low most of the day

Exhausted most days

How do you feel when you wake up most days? *

Rested and ready

Stiff but okay

Already tired

Worn down / unrefreshed

How well do you recover from workouts or physical activity? *

I recover quickly

Takes 1–2 days

Takes several days

I feel constantly fatigued or sore

How confident do you feel in your physical strength? *

Very confident

Somewhat confident

Not very confident

I feel weaker than I should for my age

Do you experience any recurring pain or tightness? *

No

Occasionally

Frequently

Constantly / limiting movement

How capable do you feel keeping up with your kids or daily physical demands? *

Very capable

Mostly capable

Struggle sometimes

Often feel limited

How would you describe your current stress level? *

Low

Moderate

High

Overwhelming

How often does stress affect your sleep or recovery? *

Rarely

Sometimes

Often

Almost daily

Do you feel your current lifestyle supports your health goals? *

Yes, mostly

Somewhat

Not really

Not at all

How consistent do you feel with your health habits? *

Very consistent

Fairly consistent

Inconsistent

I struggle to stay consistent at all

Which statement best describes your overall pattern? *

I feel in control of my health and body

I try my best but struggle to stay consistent

I feel like I keep starting over

I feel like my body is holding me back

What would improving your health and fitness most impact? *

Which of these best describes your current situation? *

I struggle to stay consistent

I feel drained even when I try to stay consistent

I stay fairly consistent, but I’m not seeing progress

If you had a clear plan, structure, and coaching support, how ready would you be to improve your health and performance? *

Ready now

Interested, but need guidance

Now is not the right time

Imagine it's 90 days from now. You've been following a clear plan, building consistent habits, and receiving coaching support along the way. What would be different about your health, energy, confidence, and daily life? Be as specific as possible. *

The Resilient Parent Blueprint is a 12-week coaching program focused on improving recovery, nutrition, and strength through sustainable habits, weekly check-ins, group coaching calls, and ongoing support. Do you feel ready to consistently commit time and effort toward these changes? *

Yes, I’m ready to commit

I’m interested but still unsure

Not at this time

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