Apply for Coaching

Thank you for your interest in the Bulletproof Coaching, please fill out the form below to apply for coaching.  Unfortunately I only take on a certain amount of clients at any given time and will always try to respond with 48hrs.

PART ONE: PERSONAL INFORMATION

PART TWO: DESIRED OUTCOMES

To get the coaching process started please take time to identify three outcomes that you desire. The outcomes should be challenging (so you are interested and engaged), positively stated, and achievable (realistic). To help you, try answering the question:

“What specifically would you like to change about you, or your life, and why?”

Here are two examples:

OUTCOME = 15% Body Fat
This is important to me because:
I am self-conscious about my weight, scared of dying prematurely, concerned that I am putting on weight, it’s negatively impacting my energy.
When I achieve this I will feel:
Happy, peaceful, confident, and a sense of relief.
Habits getting in the way of achieving this outcome:
Eating sugar ++, overeating, emotional eating, large portion sizes, consuming carbs++,

OUTCOME = A Calm, Focused, Confident, High Performing Way of being
This is important to me because:
I sense I am living a fraction of my full potential, I get stressed and anxious easily, inwardly I don’t always feel confident, I get distracted easily.
When I achieve this I will feel:
Happy, peaceful and relaxed
Habits getting in the way of achieving this outcome:
Very busy mind, I overthink, strong inner critic, work long hours, don’t make time for relaxation/fun, strong perfectionist tendencies.

Now fill in the blanks below:

OUTCOME ONE

This is important to me because:


When I achieve this I will feel:

Habits getting in the way of achieving this outcome:

OUTCOME TWO

This is important to me because:


When I achieve this I will feel:

Habits getting in the way of achieving this outcome:

OUTCOME THREE

This is important to me because:


When I achieve this I will feel:

Habits getting in the way of achieving this outcome:

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