Step 3: Complete Your Intake form

  • Onboarding Completion 50% 50%

Project Investment


Intake Form

Book Kick-Off Call

Congratulations & Welcome to Self Made!

You are a woman who makes it happen. You have taken that big first step and made a great choice in prioritizing yourself. High five to you!
We are honored and excited to work with you on your results.

Please fill out this form so we can customize and personalize your plan based on where you are now, and where you want to go.
But – do keep this in mind- this plan is not meant to be DO OR DIE. Whaaaat? ….

For reals.

We learn to let go of perfectionism here at Self Made…. BUT as part of our first phase, we do see the benefit of having a written plan. It’s like a map.

The map to your next level, your success… your future self.

And just one part of all the tools you will have inside this program.

Now let’s get this party started.



Photos? Clothing? Mirror? Tape Measure? Feelings? What works best for you?


Running? Walking, biking…please be specific
Machines, free weights, body weight?
Yoga, Pilates, karate, swimming etc



Selected Value: 0
0 = Not at all

10 = Like a log

Selected Value: 0
0 = need ALL the coffee

10 = laser focused ready to go


Is it a reward? Is it forbidden? Do you tend to restrict and overeat? Or are you not quite sure what the relationship has been?