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MamaFitForLife - Client Application

Are you ready for CHANGE?

Hi! My name is Danielle. I am a Mom of Three, diver wife, Doula, former L&D RN, active Health & Life Coach. I specialize with women who are trying to conceive, currently pregnant, and postpartum. I aim to keep you Fit & Informed through all stages of pregnancy. If you are non pregnant female No Worries!! I have amazing resources and accountability ready to provide for you as well. Just complete this short survey to get started!
1.Who are you?(Required.)
2.What interested you most about the programs we have to offer?(Required.)
3.What are your goals at this time?(Required.)
4.Please share what your daily lifestyle is right now.(Required.)
Hours you sleep
Meals you eat
Hours you work
Current activity level
Answer as closely as possible.
5.Are you looking for...check all that apply:(Required.)
6.What would be one or more reasons that would prevent you from joining our next private group?(Required.)
7.What times are ideal for you to workout?(Required.)
8.What accountability group interests you most?(Required.)
9.Have you ever implemented a Meal Replacement Shake? If yes, which one(s)(Required.)
10.What has worked for you in the past? please share Your Story. Why you are choosing now to make a change? What will this change do and mean for you? I know how uncomfortable lifestyle change can be but the more open you are, the better plan we can create for you individually.