Form cover
Page 1 of 3

Work 1:1 with Jess

If you have the goal of:

✔️ Losing weight
✔️ Toning up
✔️ Getting stronger
✔️ Walking into the gym with structure & purpose
✔️ Knowing what to eat to lose weight
And are sick of wasting time trying things that simply don't work...
Please fill out this form, as specific as possible. 

After you fill this in, I will be in touch via instagram DMs, to deep dive further into how my services can potentially help you and to see if we are the right fit for one another!

[I will be in touch within 2 business days via instagram DM]

Name

Age

Email

What are your current MAJOR health & fitness goals? Click all that apply.

What are your current MAJOR health & fitness goals? Click all that apply.

What has been an OBSTACLE or something that has held you back from achieving these goals in the past? Be specific.

How would you describe your exercise/training experience?

How would you describe your exercise/training experience?
A
B
C