VIP Package Application

Apply now to be considered for the Holistic Shift VIP Package. Learn more about the Holistic Shift here.

Name

First Name

Last Name

What made you reach out for help in losing weight and doing the holistic shift?

Tell us about your previous weight loss attempts

Include what methods you have tried and their results.

What are the major goals you would like to work towards?

Include any challenges or obstacles that are standing in the way of you achieving these goals. Be as specific as possible.

Describe your typical daily eating pattern.

Do you have any dietary restrictions or preferences? What are your biggest challenges with current eating habits?

What are your preferred forms of exercise?

Describe frequency, type, duration, and any limitations or injuries affecting exercise.

Are you willing to commit to the Holistic Shift program and maintaining transparency with your coach?

This includes detailed food journals, documenting exercise, recording habits, and sharing challenges.

Age

Height

Weight