↑

Street Address

Kelowna, BC,

902-237-5326

Life Aesthetics Online Coaching

Your Custom Text Here

Welcome to Life Aesthetics

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

🎮 Life Aesthetics Arcade™

LAArcade™ Profile Creation & Experience Enrolment

Name

First Name

Last Name

Contact Number

(###)

###

####

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

Rate Your Self-Motivation (Low = 0 | High 100)

What are your main goals to achieve while playing LA Arcade? Why are these goals are important to you and what inspired you to start now?

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

Section III | Body Stats & Metabolism Calculator

Age

Sex

Morning Weight

Please provide in (lbs)

Height

Please provide in (inches)

Waist

Please provide in (inches)

Hips

Please provide in (inches)

Neck

Please provide in (inches)

Daily Activity Level & Movement

Section IV | Lifestyle Audit

Occupation

Tell us more about a day in your life & daily routine.

This information may used to customize your program to your unique lifestyle needs.

Section V | Fitness & Health Questions

How many days per week do you perform intentional movement or exercise?

What level of difficulty would you like your LA Arcade experience to be set?

The higher the difficulty level, the more experience the user has with weightlifting, the availability of a full fitness facility, and a wider selection of equipment. Workouts will be tailored to the level chosen by each user.

If Level I / II are selected, please share the equipment you have available and the size of your exercise area.

You may send a photo(s) of the space and equipment for further optimization of your program to my@lifeaesthetics.life

Please share your current weekly exercise routine

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

Have you ever followed a structured workout program consistently?

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

Section VI | Nutrition Questions

Do you have experience following a structured Nutrition Program?

Have you ever tracked your calories or macronutrients?

Please share with us any resistances or obstacles you've encountered with your diet and nutrition.

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

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 VIII | Program Selection

Please Select Your #LA Arcade 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

VIPLifestyle™, ContestPrep™ & CouplesTransformation™ Coaching Clients

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.

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

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.