Application for Coaching

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My coaching is personalized, so be as detailed as possible in your responses.

First Name *

Last Name *

Instagram Handle *

Phone *

Email *

Which of the following best describes your current goals/challenges? (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to improve my overall health, increase energy, etc.

What is your fitness level?

Beginner: I do not know much about fitness or nutrition.

Intermediate: I have some experience but have room for improvement.

Advanced: I know how to count my macros and how to train with correct form.

What workout equipment do you have access to?

Which best describes your nutrition for the last 30 days? *

What is it you are looking to gain from having a coach? *

Have you been diagnosed with an eating disorder? *

Do you have any medical issues I should know about?

What is your commitment level to your personal results? *

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

What is the biggest hurdle you’ve been trying to overcome with your fitness? *

What would it mean to you, to achieve your goals?

Anything else you'd like to add before booking? *