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Badass Client Application

First & Last Name

Phone Number?

Email?

Age?

Height?

Weight?

Main Health Goals?

If we were talking 12 months from now, what would success look like for you?

Have you ever had blood work done?

A
B
C

Have you ever been diagnosed with any of the following?

Are you currently taking any medications or supplements? If so, explain

Have you ever used peptides?

A
B

How would you describe your nutrition?

A
B
C
D

Do you currently strength train?

A
B
C
D

Which program interests you most?

A
B
C
D

Which best describes what you're looking for?

A
B
C

Why do you feel NOW is the right time to invest in yourself?

On a scale of 1–10, how committed are you to making lasting changes?

If accepted, are you financially prepared to invest in coaching?

A
B
C

Why do you think I'd be the right coach for you?

Thank You!

Thank you for taking the time to complete your application.

I personally review every application because I want to make sure I'm the right coach for you and that my program aligns with your goals.

If I believe we're a good fit, I'll reach out within 24–48 hours to schedule a consultation and discuss the next steps.

I can't wait to learn more about you!

– Sterling
Built Badass Health & Fitness