Apply to NourisHer Transformation

Step 1

Tell us a little about yourself

These details help Sushma understand your current life stage and contact you about your application.

Your name

Email address

Phone / WhatsApp number

Age range

City

Country

Occupation

Relationship status

Children

How did you hear about NourisHer?

Step 2

How are you feeling right now?

Choose the options that best describe your current experience.

Which phase best describes you today?

Which best describes how you are feeling right now?

Choose all that apply.

Low energy Weight gain Poor sleep Mood changes Cravings Feeling stuck Inconsistent habits I do not feel like myself

Describe your health in one sentence

Step 3

What would you love to change?

Imagine it is one year from today. What would need to change for you to say, “I’m so glad I took this step”?

What are your top priorities right now?

Choose up to three.

Sustainable fat loss Better energy Strength and fitness Better sleep Hormonal wellbeing Confidence and consistency

Why are these goals important to you?

Step 4

What has made progress difficult?

Step 5

Why does support matter now?

Why are you looking for support now?

If nothing changes over the next 12 months, how would that affect your life?

On a scale of 1–10, how committed are you to making yourself a priority?

7/10

Which statement describes you best?

How important is it for you to solve this challenge?

Step 6

What kind of coaching would support you?

What are you looking for in a coach?

Choose all that apply.

Accountability Nutrition guidance Habit coaching Menopause support Strength and movement guidance Mindset and confidence support

Which coaching style motivates you most?

When would you ideally like to start?

Are you open to investing in long-term, sustainable coaching if it feels aligned?

Are you the decision-maker for this investment?

Step 7

One final check before you submit

Why do you feel NourisHer might be a good fit for you?

Is there anything else you would like Sushma to know?