SUBMIT YOUR APPLICATION AND SEE IF YOU ARE A GREAT FIT TO WORK WITH KERIN IN THE HAUTENESS PROGRAM The Hautness Application Name * First Last * Last Email * Phone Number Skype (If outside US or preferred method of contact) What is the biggest health or weight loss challenge you are facing right now? Why is it so important right now for you to solve it? * What is your #1 health or weight loss goal to achieve right now? * What has stopped you from achieving this goal? What type of patterns or excuses do you usually find you fall into when trying to reach a specific goal? * In what other areas of your life is struggling with your body, weight or health being affected? (example money, career, confidence, relationships etc) * What other plans have you tried in the past to improve your health and lose weight? example trainers, nutritionist, diet plans, etc.? * Why are you ready to work on this now? * How urgent is improving your health to you 1-10 (10 very urgent, 1 not very urgent at all). * 1 2 3 4 5 6 7 8 9 10 How did you find Kerin? * Do you feel like you are in a position to comfortably invest in your body and self development now? * Are you currently investing in your health? (example: coaches, trainers, massages etc) * What is the amount of weight you are looking to lose? * Why are you excited to work with Kerin? * Captcha Submit If you are human, leave this field blank.