Self Love Revolution | Game Plan Form

First Name *

Last Name *

Email *

Phone *

If we were having this convo 6 months from now, what would need to have happened for you to feel proud of your progress? *

(e.g. dropped 2 dress sizes, built a consistent routine, confident in your own skin, etc.)

Why do you feel now is the right time to make that change? *

What do you feel has been holding you back until now? *

(Mindset, knowledge, support, consistency, time etc.)

What kind of support do you feel would help you most right now? *

A clear, Simple plan I can follow

Help staying consistent when life gets busy

Guidance with food and making better choices

A workout routine that fits around my lifestyle

Mindset support and motivation

All of the above

(Pick all that apply) Choose as many as you like

On the scale below how ready are you to take action on your goals right now? *

Just curious

Interested but unsure

Nearly there

I'm ready to go all in

(Be honest — this just helps me know how best to support you)

If Coaching with The Self Love Revolution feels like a great fit and you could get guaranteed results, are you happy to invest £249 a month? (Options Yes, Not ready to invest right now) Is there also an opportunity to add questions when theal you would love to achieve in the next 3-6 months? If Coaching with The Self Love Revolution feels like a great fit & you could get guaranteed results, are you happy to invest £249 a month?

Yes

Not ready to invest right now

Want to know if my online coaching is right for you?