Your First Step to Clarity

A focused call starts with focused intent. Share your challenge, and I’ll let you know if The Rendezvous is the right move.

How to Complete the Form

The Rendezvous is a single, deep-dive session to help you break through a specific challenge. This form helps me understand what you’re facing—and whether this session is the best next step.

Once reviewed, I’ll respond within 24 hours with next steps. If it’s a good fit, you’ll receive booking details.

Please note:

Be clear and specific about your challenge.
This session is for sharp, actionable breakthroughs—not long-term or general support.
If another path would serve you better, I’ll let you know.

Name

First Name

Last Name

Phone

Country

(###)

###

####

Your Current Challenge

What is the number one issue or challenge you’re currently facing that you’d like support with? (Please be as specific as possible) and state how long has this been an issue for you?

Health Information

Do you have any current or previous injuries, illnesses, or conditions that may impact your health? (Please list briefly).

Medications

Are you currently taking any medications? (If yes, please specify).

Lifestyle - Health

How would you describe your current sleep habits? (e.g., poor, inconsistent, sufficient).

Habits

How would you describe your current eating habits? (e.g., balanced, inconsistent, restricted, emotional eating).

Movement / Exercise

Do you currently engage in regular exercise? (If yes, please share what type and how often).

Additional Information

Is there anything else you think I should know to determine if The Rendezvous is the right fit for you?

Agreement

I understand that The Rendezvous is a one-off, focused session to address a specific issue and not a full coaching programme.

I Agree

How did you hear about us?

Your First Step to Clarity

How to Complete the Form

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