cake nutrition
1:1 COACHING APPLICATION

Please note that filling out an application does not guarantee a spot in the program. If the coaching team feels that we would be a good fit to work together, we will be in touch via email.

Thank you for your interest!

QUESTIONS?
Book a (free) no pressure call to see if this is a good fit for you.

First name

Last name

Pronouns

What has your relationship with food looked like in the past? What does it look like currently?

On a scale of 1 to 10 (1 being horrible and 10 being amazing,) how would you rank your overall eating / nutrition habits?

What would your ideal relationship with food look like?

What have you tried in the past to change your habits, health, eating, or body image?

What worked well for you in the past?

What did not work well for you?

What are you hoping to get from this program?

What has previously stopped you from making changes?

What are you NOT willing to change to reach your goals?

Is there anything you are worried about regarding your success in this program?

Tell us a little bit about you! What are some of your favorite things in life? What are some of the things you're most proud of?

On a scale of 1-10, how READY are you to change your behaviours and habits? (1 being not at all, 10 being completely)

On a scale of 1-10, how WILLING are you to change your behaviours and habits? (1 being not at all, 10 being completely)

On a scale of 1-10, how ABLE are you to change your behaviours and habits? (1 being not at all, 10 being completely)

Is there anything else you'd like to share?

cake nutrition 1:1 COACHING APPLICATION

QUESTIONS? Book a (free) no pressure call to see if this is a good fit for you.

cake nutrition
1:1 COACHING APPLICATION

QUESTIONS?
Book a (free) no pressure call to see if this is a good fit for you.