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Apply for free 3-week fat loss 1-on-1 coaching
What's your name
*
How old are you?
*
How much do you weigh?
*
How much weight are you looking to lose?
*
How much weight are you looking to lose?
A
0-10 lbs
B
10-25 lbs
C
25-50 lbs
D
50+ lbs
On a scale of 0–10, how much of a problem is this for you? (0 = not a problem at all, 10 = this is my biggest struggle)
Late night snacking after dinner
Late night snacking after dinner
0
1
2
3
4
5
6
7
8
9
10
Drinking calories without realizing (coffee, juice, alcohol)
Drinking calories without realizing (coffee, juice, alcohol)
0
1
2
3
4
5
6
7
8
9
10
Portion control (eating too much even of "healthy" food)
Portion control (eating too much even of "healthy" food)
0
1
2
3
4
5
6
7
8
9
10
Finding time to exercise with a busy schedule
Finding time to exercise with a busy schedule
0
1
2
3
4
5
6
7
8
9
10
Being too tired after work to cook or train
Being too tired after work to cook or train
0
1
2
3
4
5
6
7
8
9
10
Giving up if I don't see results fast enough
Giving up if I don't see results fast enough
0
1
2
3
4
5
6
7
8
9
10
Not understanding how fat loss actually works
Not understanding how fat loss actually works
0
1
2
3
4
5
6
7
8
9
10
Stress making me reach for food
Stress making me reach for food
0
1
2
3
4
5
6
7
8
9
10
What does your day-to-day schedule look like? (work, hobbies, sleep)
*
Do you have access to a gym, or would this need to be home-based
*
Do you have access to a gym, or would this need to be home-based
A
Gym
B
Home-based
How long have you been trying to lose weight, and what have you already tried?
*
Do you have any injuries, health conditions, or dietary restrictions I should know about?
*
Do you have any injuries, health conditions, or dietary restrictions I should know about?
A
Yes
B
No
What does your current diet look like day to day?
*
What does your current diet look like day to day?
A
I eat pretty randomly / no real structure
B
I try to eat healthy but fall off on weekends
C
I track calories / macros inconsistently
D
I follow a specific diet (keto, IF, etc.)
E
Other
What's the real reason you haven't been able to stick to a plan so far?
*
What's your biggest motivation right now? What would losing this weight actually change about your life?
*
Do you currently exercise?
*
Do you currently exercise?
A
No, not at all right now
B
1–2x per week
C
3–4x per week
D
5+ times per week
Are you willing to provide before/after photos (face can be blurred) and a short testimonial if you get results?
*
Are you willing to provide before/after photos (face can be blurred) and a short testimonial if you get results?
A
Yes
B
No
C
Yes (blurred face)
Is there anything else you want me to know before we talk?
Drop your email below to submit your application
*
I'll review your application and send you a booking link within 24 hours if you're a fit.
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