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Application Form for The Vitality Blueprint™

Welcome

Thank you for your interest in joining The Vitality Blueprint™. 

This programme is personal. I work closely with every woman inside it, so before offering anyone a place I want to understand where you are today, what has brought you here and where you would like life to take you next.

There are no right or wrong answers and this is not a test. It is the beginning of a conversation.

I read every application myself.

If I think The Vitality Blueprint is right for you, you can either secure your place or book a complimentary fifteen-minute call to talk it through first, whichever you prefer.

If I don't think I'm the right person to help, I'll tell you honestly and point you towards a better next step wherever I can.

It takes about ten minutes.

Click the button below to start.

Start

Question 1 of 12

Which decade are you in?

A

50s

B

60s

C

70s

D

80s

Question 2 of 12

Why now?

 

Something made today the day you decided to apply.

 

What has brought you here now, rather than a year ago or a year from now?

Question 3 of 12

Where are you today?

Which of these feel true for you?

(Select all that apply)
A

My body doesn't feel like it used to.

B

I'm beginning to lose confidence in how I move.

C

I wake up stiff more often than I'd like.

D

I've been diagnosed with osteopenia or osteoporosis.

E

I've watched someone close to me lose their independence, and I don't want that future for myself.

F

I'm starting to say "no" to things I'd once have enjoyed.

G

I've tried different approaches, but nothing has truly solved the problem.

H

I know I need to do something before things become harder.

I

None of these exactly—but something led me here.

Question 4 of 12

Your Health

Which of these apply to you?

(Select all that apply)
A

Osteopenia

B

Osteoporosis

C

Arthritis

D

Long-term back pain

E

Hip pain

F

Knee pain

G

Joint replacement (or waiting for one)

H

Previous injury that's never fully settled

I

Surgery within the last 12 months

J

Currently under medical investigation

K

Perimenopause or menopause symptoms

L

Family history of osteoporosis

M

Nothing has been diagnosed - I simply don't feel like myself physically.

N

Other

Question 5 of 12

Since you turned 50, have you broken a bone from a fall from standing height or less?

 

For example, a fall from standing, from a chair, or on the stairs.

A

Yes

B

No

C

I'm not sure

Question 6 of 12

Is there anything else you would like me to know?

Question 7 of 12

What have you already tried?

(Select all that apply)
A

Physiotherapy

B

Pilates

C

Personal training

D

Osteopathy

E

Chiropractic

F

Injections

G

Medication

H

Acupuncture

I

Online programmes

J

Gym membership

K

Supplements

L

This is my first serious attempt to address it

M

Other

Question 8 of 12

Of everything you've tried...

What helped, and where did it fall short?

Question 9 of 12

What you're looking for

Which feels most like you?

A

I'm looking for personal guidance, structure and accountability.

B

I know I need support to make lasting changes.

C

I'm still exploring my options.

Question 10 of 12

The programme works best when women commit to a short daily practice and attend our weekly coaching sessions.

How does that feel?

A

Absolutely realistic.

B

I'll need to protect that time, but I'm prepared to.

C

I'm not sure I can commit right now.

Question 11 of 12

Book your free 15-minute Clarity Call with me. I'll answer all your questions and together we will work out if The Vitality Blueprint™ is the right fit for you.

CLICK THE LINK TO CHOOSE A TIME  https://calendly.com/sarah-sarahclough/15min

Confirmation page

Thank you.

Some of these questions ask you to put things into words you may never have written down before, and I appreciate you doing that.

I read every application myself and I'll be in touch within twenty-four hours, either with a time to talk or with everything you need to join.

Whatever I decide, you'll get an honest recommendation about the best next step for you.

 

Sarah

Confirm and Submit