1:1 Coaching Application
MonikaBanach.Official

Personalized Support & Expert Guidance Tailored to Your Unique Journey

Are you ready to take control of your health, reset your body, and achieve your goals with confidence? My 1:1 Fasting and Health Coaching program is designed to give you the personalized support, tools, and expert strategies you need to succeed.

Whether you’re looking to lose weight, boost your energy, or reverse aging, I’ll be by your side every step of the way, ensuring you feel confident, empowered, and motivated to reach your fullest potential.

Email*

First name*

Last name*

Phone Number & Time Zone:*

Instagram username (ex. MonikaBanach.Official):*

What challenges are you currently experiencing?*

How long have you been dealing with this? (years, months, weeks...)*

What are your three (3) main goals right now when it comes to your health, weight, and overall wellbeing and WHY are those important?*

Be honest - what do you think is stopping you from hitting these goals on your own? (the more specific you are here, the faster we'll get clarity on our consultation call)*

How motivated are you to make lifestyle changes in the next 3-6 months in order to improve your health, your wellbeing and reach your weight-loss goals? 0 - Not Motivated at all and 10 - Extremely Motivated*

Have you been diagnosed with an eating disorder?*

Yes

Not sure

If YES, please explain:

If you knew you could reach the 3 goals you've mentioned earlier, how willing would you be to invest in yourself to get there?*

Willing and finally ready to get the results. Let's GO!

Scared but I know it's the right thing

Not willing and not ready at all

If you knew you could reach those goals in 3-6 months timeframe, what is your ability to invest in yourself?*

$100-$500

$500-$1000

$1000-$2000

Whatever it takes!

1:1 Coaching ApplicationMonikaBanach.Official

1:1 Coaching Application
MonikaBanach.Official