Name(required) Email What topics would you find useful? (ie, body image, facing fears, confidence, self love, health and fitness, behaviour change techniques. ANYTHING you or women you know struggle with): How would you like to receive this info? Online Courses/ Workshops Online Webinars Large Event In person Group workshops/ seminars In person one on one Coaching Personal Training WITH Coaching How old are you? (This helps with demographics)(required) What do you wish you'd known when you were young? How do you like to be active? (i.e., run, dance, swim, hula hoop....) What would make you want to work with someone; sign on the dotted line? When do you feel most confident?