Application for Coaching

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

Welcome, this is an application to get you started on your fitness & health journey. The first step is making sure we are a great fit for each other to ensure your success. I look foward to speaking with you soon!

First Name *

Last Name *

Phone *

Email *

What is your age?

What is your height?

What is your current weight?

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

I want to lose body fat (lose weight)

I want to build lean muscle

I want to improve my strength

I want to improve my cardiovascular endurance

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

I want to improve my flexibility and mobility

Are there any fitness, nutritional or wellness lifestyle habits you want to change, improve on or develop? *

Are there any physical activities/sports you would love to improve your performance on? (Be specific)

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

What are the biggest challenges you’ve been trying to overcome with your fitness/wellness lifestyle? *

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

What is your commitment level to your personal results? *

1. I’m extremely committed. I am looking for guidance and I will do whatever it takes.

2. I am ready to make a commitment but need motivational support and looking for guidance and help with being accountable along my journey.

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

Anything else you'd like to add before booking a call with me? *