1:1 Coaching Application

Thank you for your interest having me as a coach. I value every opportunity to work with any and all individuals.

Coaching is an important passion of mine. This is a collaborative process between you and I.

This inquiry/application exists to determine whether we are the right fit to work together. It should take you no longer than 10 minutes to complete.

All submissions are reviewed thoroughly and carefully considered.

Please expect a response within 24–48 hours after submission.

If it appears we are indeed a good fit, I will be reaching out to the phone number provided to set up a brief 5–10 minute phone call to establish initial communications, clarify any questions and or expectations and confirm the coaching dynamic.

All personal information provided will be kept strictly confidential.

I appreciate the interest and opportunity I look forward to receiving your submission.

Please be sure to check your SPAM folder for my response.

Email

BASIC INFORMATION

Full Name

Instagram Handle

Phone Number

Age

Gender

Male

Female

State

CAREER & LIFESTYLE

Primary Occupation/Career

Average Weekly Hours Of Work

Under 30

30-40

40-50

50+

Work Schedule Type

Standard Daytime

Shift Work

Rotating/Inconsistent

Self-Employed

Description Of Work & Day To Day Schedule (please be a descriptive as possible)

How consistent is your weekly/day to day schedule? (training times, meals, sleep)?

Very consistent

Mostly consistent

Inconsistent

Unpredictable

On average, how many hours of sleep do you get per night and how would you rate the quality?

Please list and describe any hobbies (outside of fitness) and or social activities you frequent.

If asked, are you willing to adjust sleep, social habits and daily routines to meet your goals?

Yes, without any hesistation

Yes, within reason

Maybe

TRAINING, NUTRITION & HEALTH BACKGROUND

How long have you been training consistently?

Less than 1 year

1-3 years

3-5 years

5+ years

Primary Training Style

Current Training Frequency (days per week)

How you rate your own nutrition knowledge and execution?

Very limited (no structure or understanding)

Basic understanding (inconsistent execution)

Well versed understanding (mostly consistent execution)

Advanced understanding (highly consistent)

Have you ever followed a structured nutrition plan (meal plan, macros or contest prep)?

Yes, long term and consistently

Yes, but only short term or only on prep

No, never

What best describes your experience tracking food intake?

I track everything accurately

I track most things

I used to track but I do not currently

Never tracked

If life/work gets busy, stressful or emotional, what typically happens to your nutrition?

I lose structure entirely

I begin to deviate more frequently

Minor deviations but corrected quickly

I remain on my plan

How often are you preparing your meals/food in advance?

Daily

Several times a week

Occasionally

Rarely if ever

Do you consume alcohol?

Never

Social (1-2x/week)

Frequently (3+/week)

Have you ever used performance-enhancing drugs?

Yes

Prefer not to answer

GOALS & COMMITMENT

What is your primary goal?

Please elaborate on the goals you selected.

Why is this goal or goals important to you?

Please elaborate on any other goals.

Why are you seeking coaching now?

What made you specifically seek me as a coach?

Have you competed before? (Y/N) - If YES please describe your experience.

Have you worked with a coach before? - If YES please describe your experience.

Timeframe you expect to see results in? (weeks, months, years

What does "success" in working together look like to you?

Financially, are you prepared for the ongoing commitment of coaching and or contest prep?

Yes

ACKNOWLEDGEMENT & SUBMISSION

How did you hear about me?

Social Media

Referral

Other

Anything else I should know more of that is not included already on this application?

Acknowledgements

I understand that my submission does not guarantee my acceptance

I understand that 100% of my effort and commitment is required throughout our time working together. Success in this endeavor is a team effort, our coach-client relationship is vital

I understand that complete honesty throughout the entirety of our time working together is a non-negotiable

I understand that there will be zero tolerance for lack of adherence to the plan from reasons rooted in poor discipline. I am open and understanding of genuine emergencies and unexpected life events

A minimum of a 12 week commitment is required

I confirm that all information provided is truthful, accurate and to the best of my knowledge