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StrongHER Method – Application

12-Week Sustainable Weight Loss Program

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This application helps us ensure this program is the right fit for you. Please answer honestly — there are no “right” answers.

Please note: This program is designed for women seeking sustainable change.

It may not be suitable if you’re looking for rapid weight loss or extreme dieting approaches.

Name

Instagram Handle

Age Range

25-34

35-44

45-54

55+

What are you hoping to achieve in the next 12 weeks?

How long have you been trying to lose weight or improve your health?

Less than 6 months

6–12 months

1–3 years

On and off for many years

What feels most frustrating for you right now?

Have you ever been diagnosed with PCOS or told you may have PCOS?

Yes, formally diagnosed

Suspected / mentioned by a healthcare professional

Not sure

Which of the following do you experience regularly?

Which approaches have you tried before?

Do any of these feel familiar?

Have you ever followed very low-calorie or highly restrictive diets?

Yes, multiple times

Yes, once or twice

Not sure

How would you describe your current activity level?

Mostly sedentary

Light movement (walking, Pilates, yoga)

Structured workouts 2–3x/week

Intense training most days

How does your body usually respond to intense workouts?

I recover well and feel energised

I feel exhausted or inflamed

I often crash, bloat, or feel overly sore

I’m not sure

Which statement best reflects what you’re looking for right now?

This program does NOT focus on:

How do you feel about this approach?

Are you currently:

Pregnant

Breastfeeding

Trying to conceive

None of the above

Are you currently managing any of the following?

On a scale of 1–10, how ready are you to commit to consistent (not perfect) habits over the next 12 weeks?

Why does this feel like the right season for you to work on this now?

If accepted, are you comfortable investing in a high-touch 12-week coaching program?

Yes

I need more information

Not sure yet

How did you hear about this program?

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