Application for Coaching

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Before we begin, fill out this questionnaire so we can see more about your current lifestyle. Use honest detail so we can understand how to coach you to success!

(Be as detailed as possible so we may provide the BEST coaching plan)

First Name *

Last Name *

Instagram Handle *

Height? *

Weight? *

What's your age? *

What’s your job position? Hours/week and how active is the job? (desk job, on your feet, heavy lifting, etc.) *

How many days a week do you want or are willing to work out? *

How much time do you have to work out each day? *

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

What changes do you want to see to feel like the program has been successful. BE SPECIFIC *

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

My programs are about teaching, not just ordering you around. I tell clients It's a one time investment. After the program you should never need another coach or program again because I will teach you every last trick in the book pertaining to diet and exercise. With that said are you willing to invest financially and mentally to reach your goals? (All I wanna know is if I can make it work for you financially -- that you can meet me halfway and work it out!) *

On a scale of 1-10...1 means "I'm OK not seeing any results" & 10 means "I'm READY to get results!!" What number are you? *

What would you expect from me as your coach if we decide to work together? *

Email *

Phone *