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Street Address

Kelowna, BC,

902-237-5326

Life Aesthetics Online Coaching

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Welcome to Life Aesthetics

Please complete and submit your coaching enrolment & lifestyle questionnaire for the experience you’ve selected.

▪️ Private Coaching Clients

For VIPLifestyle™, ContestPrep™ & CouplesTransformation™ Coaching Packages

Life Aesthetics Coaching Enrolment & Lifestyle Audit

Name

First Name

Last Name

Contact Number

(###)

###

####

E-mail

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about us?

Did a friend or family member refer you?

Social Handle @

Please share your Instagram @, we'll follow you back!

Section II | My Goals

What are the most important goals you wish to accomplish during this experience? Why are these goals are important to you and what inspired you to take action?

What are your fears, hesitations or obstacles to making lifestyle changes?

Section III | Body Stats & Metabolism Calculator

Age

Sex

Current Morning Weight (lbs)

Height (inches)

Waist (inches)

Hips (inches)

Neck (inches)

Section IV | Lifestyle Audit

Can you walk us through a typical day in your life, including your daily activities, work schedule, and any habits or routines you follow?

What is your Occupation?

Daily Activity Level & Movement

Section V | Fitness & Health Questions

Have you ever followed a structured workout program consistently?

Can you describe your current weekly exercise routine, including the types of workouts, duration, frequency, and any rest days you take?

Include all sports, hobbies, resistance training, cardio and or leisure activities.

Do you have access to a fully equipped gym or studio?

If No, please explain in detail the equipment that you have at home?

Please send a photo(s) of the space and equipment to your coach prior to starting your program.

Do you have any injuries, limitations or physical pain in your body.

Section VI | Nutrition Questions

Do you know how to read a nutrition or ingredient label?

Do you have experience following a structured Nutrition Program?

Have you ever tracked your calories or macronutrients?

What challenges or obstacles have you faced in staying consistent with your diet and nutrition?

Please list all food preferences (eg. likes and dislikes), food allergies and/or intolerances.

Your responses will help us design meal structures, timing & ingredient choices. The detail you choose to provide will help us tailor your nutrition to your palette and lifestyle.

Please provide detail of any prescribed medications, dietary supplements, performance-enhancing drugs or recreational drug usage that may affect your participation and wellbeing during this lifestyle experience.

Section VII | Brand Partnerships & Exclusive Discounts

Do you currently have a Young Living Account?

Section VIII | Service & Package Selection

Please Select Your Life Aesthetics Experience

Program Start Date

YYYY

Section IX | Terms of Service, Liability Release & Disclaimer

Please click here to view and read our Terms of Service governing all Life Aesthetics products & services including our no refund policy and the right to terminate any client programs for lack of commitment.

Do you accept the terms of service?

Please confirm your legal name.

First Name

Last Name

Section X | Select A Coach

Life Aesthetics offers many specialized coaches to help you achieve your goals. Please select the coach you wish to work with during your experience or leave this section blank if you would like us to assign the best coach for you.

🎮 LIFE AESTHETICS ARCADE CLIENTS

For LA Arcade™ Program Downloads