Discovery Call Intake Form

After you hit submit, you will be redirected to my calendar where you can choose the time that works best for you and reserve your spot. The discovery call is a free 30-minute call to see if you will be a good fit for my coaching services and if I will be the right help that you need. If we mutually decide that we are a good fit, we will discuss the coaching plan options.

Name

First Name

Last Name

Age

Gender

Email Address

What is your goal for your fitness journey?

What are your struggles with reaching your goal?

Medical issues and/or injuries:

Do you have any pain from any exercises or movements?

How did you hear about Em-Powered Life?

Were you referred to this program by someone?

If yes,

please provide the name and number of the person.

I offer plans ranging from $399/month to $429/month. Would you like to pay in full to receive 1 month free or explore Affirm/Klarna/Afterpay options to pay it monthly overtime?

Be sure to be in a place you’re fully present for your call with good internet/wifi. Will you be in a place where you're fully present?

Do you give consent to have your discovery call recorded for quality and training purposes?