Infinity Coaching

Evidence-Based Weight Loss Coaching

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Coaching Application

This application helps me determine whether we’re a good fit to work together. I work with a small number of clients at a time who are ready for meaningful, lasting change—not quick fixes. Please answer honestly and thoughtfully. There are no “right” answers.

1About You

2Your Experience

Name(Required)

First Last

Email(Required)

Age(Required)

How much weight would you like to lose? (Approximate number of pounds)(Required)

Besides losing weight, what other goals would you like to accomplish? Examples: improve energy, build better eating habits, reduce cravings, feel more confident, improve health markers, etc.

WHY are these goal(s) important to you?(Required)

On a scale of 1–10 (1 = not important, 10 = extremely important), how important are these goals to you?(Required)

Current medications and what you take them for (high blood pressure, type 2 diabetes, antidepressants etc…)

Readiness

How would your life be different today if you had already achieved your goals?(Required)

What would the consequences be if you did not change NOW?(Required)

What do you believe is really holding you back?(Required)

On a scale of 1–10 (1 being lowest and 10 being highest) how ready are you to make meaningful changes?(Required)

Approach & Fit

Commitment

This final step helps ensure clarity and alignment before moving forward.

Is there anything else you feel is important for me to know about you right now?

Do you currently have the time and financial ability to invest in your transformation?(Required)

Yes — I’m ready to invest NOW

I’m not sure

No — this isn’t possible for me right now

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Internal Fit Status

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About
Written Testimonials
Certifications
Contact

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Coaching Application

Readiness

Approach & Fit

Commitment

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