How to Structure an Effective 1-on-1 Health Coaching Program

By Kathleen LeGrys

As a new health coach, I’m sure you are all too aware of the long list of things you have to figure out to get your business up and running – and be profitable.

That’s probably a huge understatement, right?

The worst part is that oftentimes you feel like you’re alone on your own deserted island left to figure it out by yourself. I know because I’ve been on that island too.

One of the biggest hurdles to overcome is how to structure your 1-on-1 coaching program. I struggled with this when I was first starting out, and I know there are many other coaches that feel the same way.

The good news is that I went to work to figure it out — and now I get to help other coaches fill in the blanks when it comes to creating top-notch health coaching programs.

Smart systems are a huge part of any successful business, so I created a step-by-step system that made all the difference in the world — to me and my clients. Having a structure to your coaching programs will save you time, energy, and frustration.

Taking the time to map out the kind of journey you want to take your clients on will make coaching so much more enjoyable for you, and will allow you to help more people.

When I started out as a health coach, it took me a good three hours for each client. I would have to prepare session content ahead of time, scramble to find resources, and then send a recap email to each client. Oh, my!

I quickly realized that this was not a model I could continue with if I wanted to have a profitable business (and not lose my mind!).

Get ready to get unstuck, my friend. I’m going to break it down for you so you can get started mapping out your own program. My hope is that the simple steps I’m sharing today will get you on the road to coaching with more confidence.

I’m also going to share the EXACT topics I used with my own coaching program (including the order of the topics).

Let’s get started!

1. Get organized

First of all, decide what journey you plan to take your clients on. Do you know what they struggle with the most? If it includes things like starting an exercise plan, losing weight, and eating healthier, what would that program entail? If you don’t know right now, that’s okay. You will probably have a better idea by the time you finish reading this post.

How long will your coaching program be? I recommend offering more than one way for people to work with you. Having a short-term introductory program is a great gateway to your other offerings. But for this post, we will just address your 1-on-1 program.

Will your 1-on-1 program consist of three months? Six months? I recommend offering a 90-day program (three months) and then the option to continue on for another 90 days. People tend to commit to shorter programs more easily than a longer term program, so you are likely to get a higher enrollment rate.

How many sessions will you offer per month? Many coaches offer two sessions per month. This allows clients some time to implement what you covered in the previous session. If you plan to include more sessions per month be sure to charge accordingly.

2. Prepare ahead of time

I can’t tell you how many hours this will save you each month! Not to mention how much more professional you will come across to your clients.

Do you have pre-prepared sessions ready to go? These sessions can be an assortment of the most common topics that come up for your clients.

Program topic examples include: Goal Setting, Meal Planning, Mindset, Primary Food, Stress Management, Implementing Healthy Whole Foods, etc.

Find out what area your client is struggling with the most, and then tackle that topic. If one of the challenges is that your client eats out too much, addressing the topic of menu planning would probably be ideal. Talk about the roadblocks around that issue, then figure out what would work best for the client. They receive a recap of that that session (topic info, handouts, action items) to review, and then at the next session see what has worked well for them and what needs more focus.

It’s helpful for you and for the client to have a complete session of content all laid out and ready to go. Your clients are not going to remember everything that was covered, so when they can get the information in writing, they can refer back to it.

Of course there will be topics where you have nothing prepared in writing, but when you can have 80-90% of it done it’s so much easier.

Stay open to changes though. I always let my clients know: “This is about YOU. I have a great plan to help you, but none of it is set in stone. I have plans to cover a certain topic, but if you need help in another area, we will tackle that first.” This way, the client knows you do have a plan, but it is flexible based on their unique needs.

When I finished my health coach training program, I knew I needed more to offer my clients. I felt like there were a lotof different topics I wanted to cover. I had in mind the journey I wanted to take my clients through: It would be simple, not restrictive, and very step-by-step where one success built on the previous one.

I went to work to create 12 comprehensive sessions. This way, I would never run out of topics to cover, and I could break them up and use for a 3-month program or a 6-month program. (I could also use the content online or as posts for blogs or social media).

What topics would be the most helpful to your particular audience? What do they struggle with the most?

Here are the session topics I put together for my clients (this is the order that my sessions were typically delivered, but it was always flexible):

  1. Goal Setting
  2. Why Diets Don’t Work
  3. Fueling Your Body
  4. Exercise Strategies
  5. Menu Planning
  6. Mindful Eating and Portion Control
  7. Boosting Your Energy
  8. Understanding and Conquering Cravings
  9. Why It’s Not Just About Food and Exercise
  10. Deciphering Food Labels
  11. Stress Reduction and Self-Care
  12. Mindset

These are topics that anyone and everyone can benefit from. You can just cater them to each client since everyone is unique. Each person will have some similar issues, but they will also struggle with different things at different times.

Brainstorm and figure out what makes the most sense to you and to your clients.

The sessions need to be easy to understand and very simple to implement. The worst thing you can do is overwhelm your clients with too much information. Think “baby steps.” Once you have your client go through the session content, you can see what habits they have pretty much dialed in, and which habits can be focused on at that time.

Remember to have your client focus on no more than two new habits at a time. Sometimes focusing on one at a time is best depending on the client. This is the best way to set them up for success.

A great book that I have found extremely helpful when I was a new coach is: “Coaching Questions: A Coach’s Guide to Powerful Asking Skills,” by Tony Stoltzfus. This book is full of fantastic high-mileage questions that you can add to your coaching toolbox.

3. Options for delivering your 1-on-1 coaching

There are two popular options for delivering your 1-on-1 coaching programs. Think about what appeals to you the most. The decision will be based on your goals, needs, and lifestyle at the moment. You may also decide to offer a combination of the two.

Phone/Skype – Virtual

I did all of my 1-on-1 coaching via phone and Skype, and I loved it. This gave me the most flexibility, and I didn’t need to rent space or have strangers come to my house. My clients loved it because they didn’t have to travel to an appointment.

A huge benefit of virtual coaching is that you can have clients from anywhere in the world. Skype is amazing for this type of coaching.

You would charge the same fee for this type of coaching as you would in-person coaching.


You’ll have to decide where you would like to meet. Is there somewhere that is private that meets your needs and the needs of your client? Will you have to pay rent? Can you join forces with another health professional to provide services at their facility? This will have to be figured into the price of your coaching program.

As you think about your coaching program and the level of support you want to provide for your clients, get really clear on what that looks like. Write it down and map it all out. Do a brain dump if you aren’t quite sure.
I know I included a lot of information here, and I hope it gave you some great ideas. I recommend you take action by reading through this again, take notes, brainstorm, and then plan out the structure of your own program.

If you have time to put your own program together, that’s fantastic. Not everyone has the time, patience, or the desire. Believe me, I know how many hours go into putting something like this together.

If you want to have a coaching program that’s already done for you, has been tried and tested on hundreds of people, you can find out about the Coach with Confidence program here. It’s a completely customizable program that includes all of the topics I listed above.

CWC with HCS name HCS
Okay, you’re ready to rock this!
Kathleen LeGrys is a Certified Holistic Health Coach, Fitness Nutrition Specialist and founder of Health Coach Solutions.

Kathleen helps health coaches accelerate their businesses by providing them with exceptional ready-to-go coaching programs so they can spend more time coaching and earning income.

Grab your free Discovery Session Guide for a step-by-step template and script for your initial client consultations. You’ll know exactly what to say so you’ll feel more confident with your prospective clients.

Learn more about Kathleen and her business-transforming programs at

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