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AESTHETIC COACHING APPLICATION
For individuals serious about building their bodies into greatness.
Section 1: The Basics
Name
*
Email
*
Phone number
*
Instagram handle
*
Age
*
Location / time zone
*
Section 2: Where You're At
Current weight
*
Height
*
What's your main goal?
*
A
Build muscle
B
Lose fat
C
Both — recomp
D
General strength & health
On a scale of 1-10, how would you rate your current fitness level?
*
0
1
2
3
4
5
6
7
8
9
10
How long have you been training?
*
A
Never trained
B
<1 year
C
1-3 years
D
3+ years
What does your current training look like?
*
Any injuries, surgeries, or physical limitations I should know about?
*
Section 3: The Real Talk
What have you tried before that didn't work? Why do you think it failed?
*
What's the #1 thing holding you back right now?
*
On a scale of 1-10, how would you rate your current diet/nutrition habits?
*
0
1
2
3
4
5
6
7
8
9
10
What foods can't you eat, do you dislike, or are you currently avoiding?
*
Briefly describe your current diet
*
How many hours of sleep do you average per night?
*
How would you describe your stress levels?
*
A
Low
B
Moderate
C
High
Section 4: Commitment Check
Why do you want to change now? What's driving this?
*
Are you willing to follow a structured plan for at least 90 days, even when it's uncomfortable?
*
A
Yes
B
No
What's your budget range for coaching?
*
How soon are you looking to start?
*
A
Immediately
B
Within a month
C
Just exploring
Section 5: Final Step
Upload a current photo (front, side, back) — optional but recommended
*
Click to choose a file or drag here
Submit
