Attention: Frustrated Women Who Have Tried Everything to Get a Slim Waistline...

Get the support and direction you need to finally lose your menopause belly no matter if your 40's, 50's, 60's or beyond.

To be eligible to win the scholarship, fill in this questionnaire before January 1, 2019

First Name

Last Name

Phone Number (text message)

Age

Why should you win this scholarship?

What is the number one area you struggle with in relation to health and wellness?

In creating your health and wellness results, what would you love? (Goals)

On a scale of 1-10, how motivated are you to make a change? Feel free to comment.

Why are you seeking support now and not 6 months or a year ago?

Occupation?

Does your work require high energy expenditure or are you sedentary? Please briefly describe:

Does your schedule effect your ability to eat regularly? If yes, briefly explain:

Does your schedule effect your ability to maintain a regular sleeping schedule? If yes, briefly explain:

If you knew you could achieve your results, are you willing to make a financial, emotional and time commitment?

The fastest way to achieve your results is through personalized coaching. My price points for my coaching services are in the range of about a buck a day to a few bucks daily. Are you interested in investing in yourself with personalized coaching?

Why would you benefit from personalized one on one coaching?

Is there anything else you want me to know about you?